IndividualActive
Adam Brock, DMD
NPI 1184930653 · Periodontics · Fort Gregg Adams, VA
Provider details
- NPI number
- 1184930653
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DS0382820 (PA)
Specialties & taxonomies
Dental Providers
Practice location
700 24th St
Fort Gregg Adams, VA 23801-1716
Phone: (804) 734-9607
Approximate (ZIP-level) locationGet directions
Mailing address
228 Beeman Pl
Ft Riley, KS 66442-7009
Registry dates
- Enumerated
- 2010-08-23
- Last updated
- 2023-05-24
- Certified
- 2023-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.