Search › Kentucky › 1223G0001X
Tyler Brockman, DMD
NPI 1548944465 · on the registry since 2023
Practice
- Address
- 225 Crescent Hill Pl Apt 209
Louisville, KY 40206 - Phone
- (502) 377-4362
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- IN, KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-12
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 Kentucky