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

Dr. Eric Scott Brockman, DMD, MSD

Individual provider Periodontics · NPI 1336211614

Dr. Eric Scott Brockman, DMD, MSD is a Periodontics in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania, Tennessee, Washington and Wisconsin.

Licensed in
PA, TN, WA, WI
In the registry since
2006
Specialties on file
4
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

7601 Castor Ave Ste 300
Philadelphia, PA 19152-4027
Phone: (215) 722-4290
Fax: (215) 722-3734
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1685 Crown Ave, Lancaster, PA 17601-6322 — (717) 482-6542

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DS028499L (PA)
Periodontics Taxonomy 1223P0300X · Licence 00007825 (WA)
Periodontics Taxonomy 1223P0300X · Licence 1001067-15 (WI)
Periodontics Taxonomy 1223P0300X · Licence 11876 (TN)

Record details

NPI number1336211614
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MSD
Sole proprietorNo
NPI enumeratedNovember 14, 2006
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023
Mailing address635 Meadowbrook Dr Apt 635, Huntingdon Valley, PA 19006-6913

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