1. Home
  2. Directory
  3. Georgia
  4. Bowdon
  5. Dentist
  6. NPI Profile

DR. JIMMY L. BROCK D.M.D.
NPI 1497925903
Dentist in Bowdon, GA

Active since March 11, 2008
429 MITCHELL AVE, BOWDON, GA 30108(770) 258-5516(770) 258-5517 Get Directions Write a Review

NPPES record last updated: March 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jimmy L. Brock D.m.d. NPPES

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

DR. JIMMY L. BROCK D.M.D. (NPI 1497925903) is an individual dentist in Bowdon, Georgia, licensed in Georgia (8166) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1497925903
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JIMMY L. BROCKCredential: D.M.D.
Location Address429 MITCHELL AVEBowdon, GA 30108-1405
Mailing Address429 Mitchell AveBowdon, GA 30108-1405 · (770) 258-5516 · Fax (770) 258-5517
Phone(770) 258-5516
Fax(770) 258-5517
Sole ProprietorYes
Enumeration DateMarch 11, 2008
✔ NPI 1497925903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in GA · 8166
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
429 MITCHELL AVE, Bowdon, GA 30108
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

DR. MICHAEL HANLEY DMD
Dentist (General Practice)
429 MITCHELL AVE
BOWDON, GA 30108
Carroll County (770) 258-5516
BRIAN A BAIN DDS PC
Dentist (General Practice)
429 MITCHELL AVE
BOWDON, GA 30108
Carroll County (770) 258-5516

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 Jimmy Brock's NPI number?

The NPI number for Jimmy Brock is 1497925903. It was assigned to this individual provider in the NPPES registry on March 11, 2008.

Where is Jimmy Brock located?

Jimmy Brock practices at 429 Mitchell Ave, Bowdon, GA 30108. The listed phone number is (770) 258-5516.

What is Jimmy Brock's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jimmy Brock was last updated on March 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.