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

Dr. Jeremy Dustin Brock, DMD

Individual provider Dentist · NPI 1386392629

Dr. Jeremy Dustin Brock, DMD is a Dentist in Southern Pines, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2022
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

10868 US Highway 15 501
Southern Pines, NC 28387-5149
Phone: (910) 585-0262
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 12842 (NC)
Dentist Taxonomy 122300000X · Licence 12842 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386392629
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMarch 15, 2022
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023

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