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

Dr. Jeffrey Eastman Brockett, DDS

Individual provider General Practice Dentistry · NPI 1821358474

Dr. Jeffrey Eastman Brockett, DDS is a Dentist in LA Jolla, California. Qualified in 2008, 18 years ago. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2012
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

7776 Ivanhoe Ave Ste 100
LA Jolla, CA 92037-4575
Phone: (858) 454-1468
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 61401 (CA)

Record details

NPI number1821358474
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 16, 2012
Last updated in NPPESJanuary 13, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Not indicated

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