IndividualActive
Brock Radich, DDS
NPI 1073937223 · Oral and Maxillofacial Surgery (Dentist) · Des Moines, IA
Provider details
- NPI number
- 1073937223
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DDS-09722 (IA)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
7400 Fleur Dr Ste 200
Des Moines, IA 50321-3105
Phone: (515) 287-7773
Approximate (ZIP-level) locationGet directions
Mailing address
7400 Fleur Dr Ste 200
Des Moines, IA 50321-3105
Registry dates
- Enumerated
- 2014-02-07
- Last updated
- 2020-05-15
- Certified
- 2020-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.