NPI 1366413528 · live from the CMS NPI Registry
Brian E Crock, DDS
Dentist, Orthodontics and Dentofacial Orthopedics in Newark, OH. National Provider Identifier 1366413528, active.
NPI record
| NPI | 1366413528 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 175 Mcmillen Dr, Newark, OH 43055 |
| Practice phone | 740-344-3372 |
| Enumerated | January 27, 2006 |
| Last updated | July 13, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 19260 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.