Jeffrey Brockett DDS INC

NPI #1497403232 in Del Mar, California

Provider Information

NPI Number: 1497403232
Entity Type: Organization
Organization Name: Jeffrey Brockett DDS INC
Primary Specialty: Dentist
Enumeration Date: Mar 11, 2022
Last Updated: Mar 14, 2022

Practice Location

Address: 1349 CAMINO DEL MAR STE E
City: Del Mar
State: California
ZIP Code: 92014-2553
Phone: (323) 632-3361

Authorized Official

Name: DR. JEFFREY E BROCKETT, DDS
Title: PRESIDENT
Phone: (323) 632-3361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Oral and Maxillofacial Radiology — Oral and Maxillofacial Radiology	1223X0008X
Clinic/Center - Dental — Dental	261QD0000X
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist	122300000X	Primary

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