DR. Nicole Myers Brock, D.D.S.

NPI #1124317037 in Jasper, Tennessee

Provider Information

NPI Number: 1124317037
Entity Type: Individual
Name: DR. Nicole Myers Brock, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Mar 31, 2011
Last Updated: Jun 12, 2013

Practice Location

Address: 507 BETSY PACK DR
City: Jasper
State: Tennessee
ZIP Code: 37347-3321
Phone: (423) 942-5508

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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