SearchKansasPeriodontics

Tanner Brock, DDS

NPI 1053761072 · on the registry since 2016 · sole proprietor

Practice

Address
2981 N. Webb Rd.
Wichita, KS 67226
Phone
(316) 685-2731
Fax
(316) 685-6946
Organisation at this address
Kansas Periodontics & Dental Implants Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Periodontics
1223P0300X
Also registered as
Dentist
Licence states on file
KS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-04-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kansas