Jimmy Brock, D.M.D
NPI 1497925903 · on the registry since 2008 · sole proprietor
Practice
- Address
- 429 Mitchell Ave
Bowdon, GA 30108 - Phone
- (770) 258-5516
- Fax
- (770) 258-5517
- Organisation at this address
- Brian A Bain Dds Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-03-11
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 Georgia