Brock Gardner, - Dentist in Bloomington, IL

Brock Gardner, is a Dentist - Dental Public Health based in Bloomington, Illinois. Brock Gardner is licensed to practice in Illinois (license number 019.031653) and his current practice location is 107 S Prospect Rd, Bloomington, Illinois. He can be reached at his office (for appointments etc.) via phone at (309) 808-6263.

NPI number for Brock Gardner is 1033602883 and his current mailing address is 306 Larkspur Turn, Peachtree City, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033602883.

Contact Information

Brock Gardner,
107 S Prospect Rd,
Bloomington, IL 61704-4403
(309) 808-6263
Not Available



Healthcare Provider's Profile

Full NameBrock Gardner
GenderMale
SpecialityDentist - Dental Public Health
Location107 S Prospect Rd, Bloomington, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033602883
  • Provider Enumeration Date: 06/06/2018
  • Last Update Date: 06/06/2018

Medical Identifiers

Medical identifiers for Brock Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033602883NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223D0001XDentist - Dental Public Health 019.031653 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brock Gardner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brock Gardner,
306 Larkspur Turn,
Peachtree City, GA 30269-2210

Ph: () -
Brock Gardner,
107 S Prospect Rd,
Bloomington, IL 61704-4403

Ph: (309) 808-6263

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Dentist in Bloomington, IL

Dr. Michael Allen Pauley, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2103 E Washington St, Suite 3, Bloomington, IL 61701
Phone: 309-662-6660    Fax: 309-664-6044
Dr. Aleksandra Komogortseva, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1407 N Veterans Pkwy Ste 12, Bloomington, IL 61704
Phone: 309-233-3922    
Dr. Kirk William Noraian, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 105 N Williamsburg Dr, Bloomington, IL 61704
Phone: 309-663-4577    Fax: 306-663-2854
Dr. Jack Capodice Jr., MD, DMD
Dentist
Medicare: Accepting Medicare Assignments
Practice Location: 109 N Regency Dr, Bloomington, IL 61701
Phone: 309-663-2526    Fax: 309-663-4788
Johnny J Hernandez, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 10 Heartland Dr, Suite A, Bloomington, IL 61704
Phone: 309-662-0523    Fax: 309-662-7693
Dr. Uzma S. Hatia, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 507 N Hershey Rd Ste D, Bloomington, IL 61704
Phone: 309-661-0197    Fax: 309-663-0967

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