DR. JEFFERSON C BROCK
NPI 1407974215
Dentist - General Practice in Skokie, IL

Q: What is Jefferson Brock's NPI number?

The NPI number for Jefferson Brock is 1407974215. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Q: What is Jefferson Brock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jefferson Brock was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 27, 2007

9631 GROSS POINT RD STE 1, SKOKIE, IL 60076(847) 673-6616 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jefferson C Brock NPPES

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

DR. JEFFERSON C BROCK (NPI 1407974215) is an individual general practice provider in Skokie, Illinois, licensed in Illinois (A12889) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1407974215

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JEFFERSON C BROCK

Location Address9631 GROSS POINT RD STE 1Skokie, IL 60076-1264

Mailing Address9631 Gross Point Rd Ste 1Skokie, IL 60076-1264 · (847) 673-6616

Phone(847) 673-6616

Sole ProprietorYes

Enumeration DateMarch 27, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1407974215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · A12889

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

9631 GROSS POINT RD STE 1, Skokie, IL 60076

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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 Jefferson Brock's NPI number?

The NPI number for Jefferson Brock is 1407974215. It was assigned to this individual provider in the NPPES registry on March 27, 2007.

Where is Jefferson Brock located?

Jefferson Brock practices at 9631 Gross Point Rd Ste 1, Skokie, IL 60076. The listed phone number is (847) 673-6616.

What is Jefferson Brock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jefferson Brock was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.