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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811429731

Brian Jock, DMD is a Student in an Organized Health Care Education/Training Program in Augusta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2017
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1106 Anthony Rd
Augusta, GA 30904-4423
Phone: (770) 713-2664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN015807 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1811429731
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMarch 30, 2017
Last updated in NPPESApril 19, 2022
Certification dateApril 19, 2022
Mailing address160 Lullwater Rd, Athens, GA 30606-4810

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