Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jefferson C Brock

Individual provider General Practice Dentistry · NPI 1407974215

Dr. Jefferson C Brock is a General Practice Dentistry in Skokie, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

9631 Gross Point Rd Ste 1
Skokie, IL 60076-1264
Phone: (847) 673-6616
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence A12889 (IL)

Record details

NPI number1407974215
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 27, 2007
Last updated in NPPESJuly 8, 2007

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