Dr. Tanner D Brock
Dentist Periodontist
2981 N. Webb Rd.
Wichita
, Kansas 67226
Dr. Tanner D Brock
Dentist Periodontist
2981 N. Webb Rd.
Wichita
, Kansas 67226
(316) 685-6946
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About
Features
Specialties
- Dentist
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Tanner D Brock
- 2981 N. Webb Rd.
- Wichita, KS
- Zip : 67226
- Fax : (316) 685-6946
- Phone : (316) 685-2731
Second Address
- Dr. Tanner D Brock
- 2981 N. Webb Rd.
- Wichita, KS
- Zip : 67226
- Fax : (316) 685-6946
- Phone : (316) 685-2731
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FAQs
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What type of doctor is Dr. Tanner D Brock
In what state does Dr. Tanner D Brock practice in?
Where is Dr. Tanner D Brock ’s practice located?
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Is Dr. Tanner D Brock a sole practitioner?
Is Dr. Tanner D Brock accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 61221 | KS |
| Y | 1223P0300X | Periodontist | 61221 | KS |
National Provider Identifier
| NPI | 1053761072 |
|---|---|
| Provider Name | Dr. Tanner D Brock |
| First Address | Wichita, KS 67226 |
| Second Address | Wichita, KS 67226 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2016 |
| Last Update Date | 14/04/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.