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Brock Radich

Oral and Maxillofacial Surgeon

7400 Fleur Dr Ste 200
Des Moines , Iowa 50321-3105

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Brock Radich

Oral and Maxillofacial Surgeon

7400 Fleur Dr Ste 200
Des Moines , Iowa 50321-3105

(515) 287-7773

Write a Review Save Call

Brock Radich

Oral and Maxillofacial Surgeon

7400 Fleur Dr Ste 200
Des Moines , Iowa 50321-3105

(515) 287-7773 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Oral and Maxillofacial Surgeon

Languages spoken

  • English

Location

7400 Fleur Dr Ste 200 Des Moines , Iowa 50321-3105

First Address

  • Brock Radich
  • 7400 Fleur Dr Ste 200
  • Des Moines, IA
  • Zip : 50321-3105
  • Phone : (515) 287-7773

Second Address

  • Brock Radich
  • 7400 Fleur Dr Ste 200
  • Des Moines, IA
  • Zip : 50321-3105
  • Phone : (515) 287-7773

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FAQs


Where did Brock Radich attend graduate school?

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Where did Brock Radich do his residency?

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Where did Brock Radich do his fellowship?

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Is Brock Radich board certified?

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What type of doctor is Brock Radich

Oral and Maxillofacial Surgeon

In what state does Brock Radich practice in?

Iowa

Where is Brock Radich ’s practice located?

7400 Fleur Dr Ste 200 , Des Moines, Iowa, 50321-3105

What is Brock Radich ’s gender?

Male

Is Brock Radich a sole practitioner?

No

Is Brock Radich accepting new patients?

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What languages does Brock Radich speak?

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Does Brock Radich accept insurance?

Yes, Brock Radich accepts insurance

Does Brock Radich offers telemedicine?

Brock Radich has not indicated if he offers telemedicine

What is Brock Radich ’s professional license number?

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What is Brock Radich ’s NPI number?

1073937223

Does Brock Radich have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 1223S0112X Oral and Maxillofacial Surgeon DDS-09722 IA
Y 1223S0112X Oral and Maxillofacial Surgeon DDS09722 IA

National Provider Identifier

NPI 1073937223
Provider Name Brock Radich
First Address Des Moines, IA 50321-3105
Second Address Des Moines, IA 50321-3105
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 07/02/2014
Last Update Date 15/05/2020

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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