Jerry Ray Brockman, DDS Valid NPI
Individual provider · General Practice Dentistry · Oneill, NE
- NPI
- 1790863215
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 4499 (NE)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-11-01
- Last updated
- 2021-11-05
Practice location
126 N 5th St
Oneill, NE 68763-1565
(402) 336-4812