Dr Jeremy Dustin Brock, DMD in Southern Pines, NC

Dr Jeremy Dustin Brock, DMD is a medicare enrolled "Dentist - General Practice" provider in Southern Pines, North Carolina. His current practice location is 10868 Us Highway 15 501, Southern Pines, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 585-0262.

Dr Jeremy Dustin Brock is licensed to practice in North Carolina (license number 12842) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1386392629.

Contact Information

	Dr Jeremy Dustin Brock, DMD
	10868 Us Highway 15 501, Southern Pines, NC 28387-5149
	(910) 585-0262
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jeremy Dustin Brock
Gender	Male
Speciality	Dentist - General Practice
Location	10868 Us Highway 15 501, Southern Pines, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386392629
Provider Enumeration Date: 03/15/2022
Last Update Date: 05/25/2023

Medicare PECOS Information:

PECOS PAC ID: 0749648269
Enrollment ID: I20230615000902

Medical Identifiers

Medical identifiers for Dr Jeremy Dustin Brock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386392629	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	12842 (North Carolina)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
1223G0001X	Dentist - General Practice	12842 (North Carolina)	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. Dr Jeremy Dustin Brock is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jeremy Dustin Brock, DMD 10868 Us 15 501 Hwy, Southern Pines, NC 28387-5149 Ph: () -	Dr Jeremy Dustin Brock, DMD 10868 Us Highway 15 501, Southern Pines, NC 28387-5149 Ph: (910) 585-0262

Reviews and Comments

Dentist in Southern Pines, NC

Assma Syed Ahamed, Dentist Medicare: Not Enrolled in Medicare Practice Location: 10868 Us Highway 15 501, Southern Pines, NC 28387 Phone: 415-502-5800
Jane Sessler, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 105 Perry Dr, Southern Pines, NC 28387 Phone: 910-692-5111 Fax: 910-692-1003
Dr. John F. Ceraso, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 125 Murray Hill Rd Ste A, Southern Pines, NC 28387 Phone: 910-692-5250 Fax: 910-693-8072
Dr. Margaret D Montilus, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 105 Perry Dr, Southern Pines, NC 28387 Phone: 910-692-5111 Fax: 910-692-1003
Dr. Sharon N Harrell, DDS,MPH Dentist Medicare: Not Enrolled in Medicare Practice Location: 105 Perry Dr, Southern Pines, NC 28387 Phone: 910-692-5111 Fax: 910-692-1003
Dr. Matthew Phillip Goodrich, DDS Dentist Medicare: Medicare Enrolled Practice Location: 125 Murray Hill Rd, Ste G, Southern Pines, NC 28387 Phone: 910-693-1977
Mrs. Mamata Hoogar, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 10868 Us Highway 15 501, Southern Pines, NC 28387 Phone: 910-992-3089

Dr Jeremy Dustin Brock, DMD - Medicare Dentist in Southern Pines, NC