BROCK RADICH, DDS

Oral and Maxillofacial Surgery (Dentist) · DES MOINES, IA

Individual Active Opted out of Medicare NPI 1073937223

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery (Dentist)1223S0112XDDS09722IA
Oral and Maxillofacial Surgery (Dentist)1223S0112XDDS-09722IA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2020-01-02 through 2028-01-02.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.