National Provider Identifier Database

BROCK GARDNER
Dental Public Health

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.


Contact Information

BROCK GARDNER
107 S PROSPECT RD
BLOOMINGTON, IL61704-4403
Phone: 309-808-6263
Fax:
Website:
Specialty Taxonomy Code
* Dental Public Health 1223D0001X

* Indicates primary specialty

NPI Profile & details for BROCK GARDNER

NPI Number 1033602883
Credentials
Entity Individual
Enumeration date 06/06/2018
Last updated 06/06/2018 - About 8 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 019.031653
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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