Dr. Wells Brockbank
Endodontist
5334 S Woodrow St # 201
Murray
, Utah 84107-5838
Dr. Wells Brockbank
Endodontist
5334 S Woodrow St # 201
Murray
, Utah 84107-5838
(801) 942-8686
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Wells Brockbank
- 5334 S Woodrow St # 201
- Murray, UT
- Zip : 84107-5838
- Phone : (801) 942-8686
Second Address
- Dr. Wells Brockbank
- 5334 S Woodrow St # 201
- Murray, UT
- Zip : 84107-5838
- Phone : (801) 942-8686
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 9073643 | UT |
National Provider Identifier
| NPI | 1063814234 |
|---|---|
| Provider Name | Dr. Wells Brockbank |
| First Address | Murray, UT 84107-5838 |
| Second Address | Murray, UT 84107-5838 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/09/2014 |
| Last Update Date | 17/02/2021 |
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.