Individual
DR. BENJAMIN LEON SCHROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1721 MEDICAL PARK DR, SUITE 201, BILOXI, MS 39532-2109
(228) 267-3511
Mailing address
1721 MEDICAL PARK DR, SUITE 201, BILOXI, MS 39532-2109
(601) 529-2131
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
3405-06
MS
1223G0001X
General Practice Dentistry
106
AL
1223G0001X
General Practice Dentistry
150563
NC
Other
Enumeration date
09/22/2006
Last updated
07/28/2015
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