IndividualActive
John Brock, D.D.S.
NPI 1376555227 · Oral and Maxillofacial Surgery (Dentist) · Hurricane, WV
Provider details
- NPI number
- 1376555227
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 3308 (WV)
Specialties & taxonomies
Dental Providers
Practice location
100a Prestige Park Dr
Hurricane, WV 25526-8417
Phone: (304) 757-0272
Fax: (304) 757-0273
Approximate (ZIP-level) locationGet directions
Mailing address
103 Station Place Way
Hurricane, WV 25526-8747
Registry dates
- Enumerated
- 2006-08-12
- Last updated
- 2022-09-26
- Certified
- 2022-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.