DR. LYNNE A BROCK (NPI# 1699784421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699784421 |
| Entity Type | Individual |
| Full Name | DR. LYNNE A BROCK |
| Credential | D.D.S |
| Practice Address |
20350 Water Tower Blvd Suite 203 Brookfield WI 53045-3558 |
| Practice Telephone | 2623276100 |
| Practice Fax Number | 2627179642 |
| Mailing Telephone | 2623276100 |
| Mailing Fax Number | 2627179642 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
4391 | WI | Dental Providers |
| Street Address |
20350 WATER TOWER BLVD SUITE 203 |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045-3558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861487472 | John E Moser | Dentist | 20350 Water Tower Blvd, #202, Brookfield, WI 53045-3558 | 2005-09-20 |
| 1528578580 | Sfm Dentistry LLC | Clinic/Center | 20350 Water Tower Blvd, Brookfield, WI 53045-3558 | 2017-10-04 |
| 1952719817 | Patrick William Nelson | Optometrist | 20350 Water Tower Blvd, Suite 200, Brookfield, WI 53045-3558 | 2014-07-23 |
| 1063740637 | Brookfield Sightlab, Ltd | Clinic/Center | 20350 Water Tower Blvd, 200, Brookfield, WI 53045-3558 | 2009-11-19 |
| 1922247857 | Brookfield Sightlab, Ltd. | Clinic/Center | 20350 Water Tower Blvd, Suite 200, Brookfield, WI 53045-3558 | 2009-02-17 |
| 1780839910 | Hale Ireland, Sc | Ophthalmology | 20350 Water Tower Blvd, 200, Brookfield, WI 53045-3558 | 2008-12-02 |
| 1871658518 | Hale Center for Refractive Surgery, LLC | Specialist | 20350 Water Tower Blvd, Suite 200, Brookfield, WI 53045-3558 | 2006-12-22 |
| 1740262179 | Lanny B. Hale | Specialist | 20350 Water Tower Blvd, Suite 200, Brookfield, WI 53045-3558 | 2005-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
| 1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
| 1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
| 1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
| 1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers in zip 53045 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275973166 | Meridian Endodontics and Periodontics | Dentist | 20350 Water Tower Blvd Ste 203, Brookfield, WI 53045-3558 | 2013-06-25 |
| 1053587592 | Philip Ralph Mascia | Dentist | 360 Federal Rd, Brookfield, CT 06804-2426 | 2008-05-05 |
| 1710226857 | Ruchika Joon | Dentist | 360 Federal Rd, Brookfield, CT 06804-2406 | 2013-02-09 |
| 1700088614 | Kevin Patrick King | Dentist | 17280 W North Ave, Suite 202, Brookfield, WI 53045-4366 | 2007-06-03 |
| 1821207655 | Lance Koji Hashimoto | Dentist | 16650 W Bluemound Rd, 400, Brookfield, WI 53005-5920 | 2007-05-21 |
| 1770792293 | Access Endodontics LLC | Dentist | 16650 W Bluemound Rd, 400, Brookfield, WI 53005-5920 | 2007-05-21 |
| 1922217769 | Sheila Elizabeth Stover | Dentist | 16650 W Bluemound Rd, 400, Brookfield, WI 53005-5920 | 2007-05-21 |
| 1417002452 | Endodontic Associates, Ltd. | Dentist | 12660 W North Ave, Building D, Brookfield, WI 53005-4633 | 2007-01-23 |
| 1477615532 | Gregory Charles Haasch | Dentist | 12660 W North Ave, Brookfield, WI 53005-4633 | 2006-12-15 |
| 1275610768 | Daniel John Nencka | Dentist | 12660 W North Ave, Brookfield, WI 53005-4633 | 2006-11-01 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53045 |
Please comment or provide details below to improve the information on DR. LYNNE A BROCK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.