DR. DAVID L. BROCK (NPI# 1275599250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275599250 |
| Entity Type | Individual |
| Full Name | DR. DAVID L. BROCK |
| Credential | D.M.D. |
| Practice Address |
1600 Sw Archer Rd D4-4 Gainesville FL 32610-3003 |
| Mailing Address |
Po Box 100405 Gainesville FL 32610-0405 |
| Practice Telephone | 3522735800 |
| Practice Fax Number | 3523923070 |
| Mailing Telephone | 3523926140 |
| Mailing Fax Number | 3523923070 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DN 9158 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | DEA | BB 0176366 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427575224 | David Brock | Specialist/Technologist | 106 E Main St., Spring Arbor, MI 49283 | 2017-08-23 |
| 1578926259 | David B Brock | Occupational Therapist | 220 N Main Ave, Scranton, PA 18504-3304 | 2016-03-31 |
| 1912159351 | David J Brock | Social Worker | 1020 Long Blvd, 5, Lansing, MI 48911-6896 | 2008-10-16 |
| 1881756278 | David Phillip Brock | Dentist | 40 Dormody Ct, Suite A, Monterey, CA 93940-2908 | 2006-12-14 |
| 1225009392 | David Todd Brock | Family Medicine | 2656 Sw 118th Ter, Gainesville, FL 32608 | 2006-01-27 |
| 1205024122 | David Wesley Brock | Physician Assistant | 3550 N University Ave, Suite 250, Provo, UT 84604-6683 | 2007-10-04 |
| 1568589752 | David Whitfield Brock | Internal Medicine | 1155 Mill St, Reno, NV 89502 | 2007-03-23 |
| 1447273057 | David G. Brock | Psychiatry & Neurology | 900 Walnut St, 2nd Floor, Philadelphia, PA 19107-5509 | 2006-07-25 |
| 1124040423 | David F Brock | Physical Therapist | 26617 Carmel Center Pl, Carmel, CA 93923-8655 | 2006-07-24 |
| 1699716795 | David H Brock | Counselor | 4325 Laurel St, Anchorage, AK 99508-5338 | 2006-06-09 |
| Street Address |
1600 SW ARCHER RD D4-4 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32610-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475554 | Walter J Milton | Radiology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2005-05-24 |
| 1104427251 | Morgan Elizabeth Gilbert | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-11-05 |
| 1598365306 | Kristin Renee Lapham | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-30 |
| 1225638174 | Leigha Fridley | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-29 |
| 1962000950 | Kelli O'shaughnessy | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-13 |
| 1053919985 | Amber Lynn Bart | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-13 |
| 1134726847 | Emily Elizabeth Farhat | Social Worker | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-06 |
| 1346847944 | Nicholas Scott Duarte | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-06 |
| 1922613231 | Trinh Nguyen | Pharmacist | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-09-14 |
| 1053926501 | Annalise Deboef | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440660 | Thy Cam Huynh | Occupational Therapist | 1549 Gale Lemerand Dr, Gainesville, FL 32610 | 2020-02-23 |
| 1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
| 1104310549 | Brandon Lucke-wold | Neurological Surgery | 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 | 2018-06-19 |
| 1619465754 | Carlos Eduardo Vervloet Sollero | Student in an Organized Health Care Education/Training Program | 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 | 2018-04-24 |
| 1811359151 | Ramsha A. Kudia | Internal Medicine | 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 | 2016-03-25 |
| 1447619937 | Wajdi Mohammed | Dentist | 1395 Center Dr., D8-6, Gainesville, FL 32610 | 2016-02-12 |
| 1922484344 | Kavan Ashit Gandhi | Dentist | 1395 Center Drive D7-19, Gainesville, FL 32610 | 2015-08-07 |
| 1972981512 | David Shin | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 | 2015-05-15 |
| 1669887485 | Alejandro Jose Delgado | Dentist | 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 | 2014-07-01 |
| 1194167296 | Zain Shahid | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 | 2013-07-18 |
| Find all providers in zip 32610 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295239713 | Erick Evandro Di Matteo | Dentist | 1395 Center Dr # D1-d9, Gainesville, FL 32610-3006 | 2018-03-20 |
| 1033629894 | Swati Gupta | Dentist | Grad Perio Clinic 1395 Center Drive D1-19, Gainesville, FL 32610-0001 | 2017-10-06 |
| 1164873485 | Juliana Sardenberg | Dentist | 1395 Center Dr # D1-19, Gainesville, FL 32610-6550 | 2016-06-28 |
| 1659732824 | Frederico Duarte Da Silva | Dentist | 2300 Sw 43rd St Apt A6, Gainesville, FL 32607-3826 | 2016-03-15 |
| 1053709733 | Justin C. Craighead Dmd, Ms, Pl | Dentist | 3720 Nw 43rd St Ste 102, Gainesville, FL 32606-6190 | 2015-01-02 |
| 1215241039 | Daniel Ryan Noorthoek | Dentist | 453 Pumpkin Dr., Gainesville, FL 33410 | 2010-08-04 |
| 1164571162 | Joseph E. Barclay | Dentist | 1206b Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2007-01-09 |
| 1407937808 | John Delano Mixon Sr. | Dentist | 1205 Sherwood Park Drive, Gainesville, GA 30501 | 2006-10-18 |
| 1497860902 | Caleb Jewett King IIi | Dentist | 5014 Nw 27th Ct, Gainesville, FL 32606-6545 | 2006-08-21 |
| 1710092036 | Richard Watson Oliver Jr. | Dentist | 5014 Nw 27th Court, Gainesville, FL 32606-6545 | 2006-08-19 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32610 |
Please comment or provide details below to improve the information on DR. DAVID L. BROCK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.