According to our database, the NPI number for Brock Gardner is 1033602883 and activated since 5 years ago. Brock Gardner is an individual provider who specializes in Dental Public Health, and the primary practice location is 107 S Prospect Rd, Bloomington, IL 61704. You can also contact Brock Gardner via telephone number is (309) 808-6263. Provider NPI information was last updated on 06/06/2018.

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Overview of Brock Gardner

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/06/2018
  • Last updated: 06/06/2018

Primary Scrop of Practice

  • Taxonomy Code: 1223D0001X
  • Specialty: Dental Public Health
  • License Number: 019.031653
  • License State: IL

Provider Mailing Address

  • Address: 306 Larkspur Turn
    Peachtree City, GA 30269
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 107 S Prospect Rd
    Bloomington, IL 61704
  • Phone: 309-808-6263
  • Fax:

Scope of Practice

  • Taxonomy Code: 1223D0001X
  • Specialty: Dental Public Health
  • License Number: 019.031653
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Brock Gardner?
  • A: The npi number for Brock Gardner is 1033602883.
  • Q: What are Brock Gardner's specialties?
  • A: Brock Gardner's specialties are Dental Public Health and different specialities.
  • Q: What is the medical license for Brock Gardner?
  • A: The medical license number for Brock Gardner is 019.031653 and issued in IL in USA.
  • Q: Where is Brock Gardner practice location?
  • A: Brock Gardner is practicing at 107 S Prospect Rd, Bloomington, IL 61704.
  • Q: How to contact Brock Gardner?
  • A: You can contact Brock Gardner via 309-808-6263.