BRIAN POTOCKI NPI 1194098723

NPI Information

  • NPI: 1194098723
  • Provider Name: BRIAN POTOCKI
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 3751 N MAIN ST
    SUITE D
    ROSWELL, NM
    ZIP 88201
  • Phone: (517) 281-4747

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NPI Details

Brian Potocki is a general practice dentist in Roswell, NM. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Brian Potocki NPI is 1194098723. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3751 N MAIN ST
SUITE D
ROSWELL, NM
ZIP 88201-300
Phone: (517) 281-4747

The enumeration date for this NPI number is 2/13/2012 and was last updated on 9/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist2901020710MICHIGANNo
21223G0001XDentistGeneral PracticeDD4166NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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