JEREMY DUSTIN BROCK

SOUTHERN PINES, NC
NPI1386392629
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NC  12842)
Additional Taxonomies122300000X Dentist
(Licence: NC  12842)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-15
Last Update Date2023-05-25
Business Address
Dr. JEREMY DUSTIN BROCK DMD
10868 US HIGHWAY 15 501
SOUTHERN PINES, NC 28387-5149
Phone number: 910-585-0262
Mailing Address
Dr. JEREMY DUSTIN BROCK DMD
10868 US 15 501 HWY
SOUTHERN PINES, NC 28387-5149
Phone number: