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BROCK GARDNER
NPI 1033602883
Dentist - Dental Public Health in Bloomington, IL

Active since June 06, 2018
107 S PROSPECT RD, BLOOMINGTON, IL 61704(309) 808-6263 Get Directions Write a Review

NPPES record last updated: June 6, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brock Gardner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROCK GARDNER (NPI 1033602883) is an individual dental public health provider in Bloomington, Illinois, licensed in Illinois (019.031653) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1033602883
Entity TypeIndividualMale
Primary Taxonomy1223D0001X
Provider Legal NameBROCK GARDNER
Location Address107 S PROSPECT RDBloomington, IL 61704-4403
Mailing Address306 Larkspur TurnPeachtree City, GA 30269-2210
Phone(309) 808-6263
Sole ProprietorNo
Enumeration DateJune 6, 2018
✔ NPI 1033602883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
License✔ Licensed in IL · 019.031653
Definition
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.
107 S PROSPECT RD, Bloomington, IL 61704
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAPLE SHADE DENTAL BLOOMINGTON LLC
Dentist
107 S PROSPECT RD
BLOOMINGTON, IL 61704
McLean County (309) 663-0433
DR. CLINT BOYLE DMD
Dentist
107 S PROSPECT RD
BLOOMINGTON, IL 61704
McLean County (309) 663-0433
DR. ROBERT OWEN WOLF DDS
Dentist
107 S PROSPECT RD
BLOOMINGTON, IL 61704
McLean County (309) 663-0433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brock Gardner's NPI number?

The NPI number for Brock Gardner is 1033602883. It was assigned to this individual provider in the NPPES registry on June 6, 2018.

Where is Brock Gardner located?

Brock Gardner practices at 107 S Prospect Rd, Bloomington, IL 61704. The listed phone number is (309) 808-6263.

What is Brock Gardner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

What insurance does Brock Gardner accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Brock Gardner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brock Gardner was last updated on June 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.