National Provider Identifier Database

WELLS BROCKBANK
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

WELLS BROCKBANK
5334 S WOODROW ST # 201
MURRAY, UT84107-5838
Phone: 801-942-8686
Fax:
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for WELLS BROCKBANK

NPI Number 1063814234
Credentials
Entity Individual
Enumeration date 09/19/2014
Last updated 02/17/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • UT License #: 9073643
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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