Brock, Tanner D
Brock, Tanner D is an sole proprietor health care provider with primary practice located at 2981 N. Webb Rd. , Wichita KS 67226. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Periodontics is his primary health care specialty. Brock, Tanner D can be contacted via phone (316) 685-2731.Contact Information
Primary practice address
2981 N. Webb Rd.
Wichita KS 67226
Phone: (316) 685-2731
Fax: (316) 685-6946
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 61221 | Kansas |
| Dental Providers / Periodontics | 1223P0300X | 61221 | Kansas |
Profile Details
| NPI number | 1053761072 |
|---|---|
| LBN Legal business name | Brock, Tanner D |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 2016 |
| Last updated | Apr 14th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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