OrganizationBrian J. Blocher Dds ScDentistDental ProvidersPractice Address201 N Mayfair Rd Ste 520, Wauwatosa, WI 53226-4216(414) 607-0222PECOS EnrollmentBased on the most recent information from CMS, provider Brian J. Blocher Dds Sc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 2:25 PM.Profile DetailsProvider ID1699088369Provider TypeOrganizationFull NameBrian J. Blocher Dds ScSubpartNoEnumeration Date7/22/2010Last Updated5/13/2015Contact InformationPractice LocationPractice Address201 N Mayfair Rd Ste 520, Wauwatosa, WI 53226-4216Phone(414) 607-0222Fax(414) 607-0220Mailing LocationMailing Address201 N Mayfair Rd Ste 520, Wauwatosa, WI 53226-4216Phone(414) 607-0222Fax(414) 607-0220Authorized OfficialNameBlocher, Brian Joseph (Owner/Oral Surgeon)Phone(414) 607-0222Provider TaxonomiesCodeDescriptionLicenseCode1223S0112XPrimaryDescriptionDentistDental ProvidersLicense4002WisconsinProvider IdentifiersIDDescriptionIssuerID33683900DescriptionMedicaidIssuerUnlistedWisconsin