BLAKE DOUGLASS BROCKBANK DDS
NPI 1871335703
Dentist - General Practice in Martinsville, VA

Active since June 11, 2024
407 STARLING AVE, MARTINSVILLE, VA 24112(276) 632-9266 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blake Douglass Brockbank Dds NPPES

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

BLAKE DOUGLASS BROCKBANK DDS (NPI 1871335703) is an individual general practice provider in Martinsville, Virginia, licensed in Virginia (0401418996) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1871335703
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBLAKE DOUGLASS BROCKBANKCredential: DDS
Location Address407 STARLING AVEMartinsville, VA 24112-3731
Mailing Address1107 Corn Tassel TrlMartinsville, VA 24112-5607 · (801) 598-8837
Sole ProprietorNo
Enumeration DateJune 11, 2024
NPPES CertifiedJune 11, 2024
NPI 1871335703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in VA · 0401418996
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.
407 STARLING AVE, Martinsville, VA 24112

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Dental)
407 STARLING AVE
MARTINSVILLE, VA 24112
Dentist (General Practice)
407 STARLING AVE
MARTINSVILLE, VA 24112
Dentist (General Practice)
407 STARLING AVE
MARTINSVILLE, VA 24112
Dentist (General Practice)
407 STARLING AVE
MARTINSVILLE, VA 24112

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 Blake Brockbank's NPI number?

The NPI number for Blake Brockbank is 1871335703. It was assigned to this individual provider in the NPPES registry on June 11, 2024.

Where is Blake Brockbank located?

Blake Brockbank practices at 407 Starling Ave, Martinsville, VA 24112. The listed phone number is (276) 632-9266.

What is Blake Brockbank'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 Blake Brockbank was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.