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NPI Code Detail

MEDICARE: ALAN S BROCK DDS

MEDICARE: ALAN S 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
1122300000XDentist

General Provider Information

NPI Number : 1396601969
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALAN S 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 : OWNER
Name : DR. ALAN BROCK
Credential : DDS
Telephone Number : 423-333-5985
Provider Enumeration Date : 12/29/2025
Last Update Date : 12/29/2025

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Directions to “ALAN S BROCK DDS ” Practice Location

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