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NPI Code Detail

MEDICARE: ALAN SCOTT BROCK DDS

MEDICARE: ALAN SCOTT BROCK DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist8870TN

General Provider Information

NPI Number : 1295999597
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN SCOTT BROCK DDS
Provider Business Mailing Address
First Line : 800 W MADISON AVE
Second Line :
City : ATHENS
State : TN
Zip : 37303-3430
Country : US
Telephone Number : 423-745-5212
Fax Number :
Provider Business Practice Location Address
First Line : 800 W MADISON AVE
Second Line :
City : ATHENS
State : TN
Zip : 37303-3430
Country : US
Telephone Number : 423-745-5212
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2008
Last Update Date : 01/11/2026

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Directions to “ ALAN SCOTT BROCK DDS” Practice Location

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