RICHARD SHOCKLEY, D.D.S.

Dentist - General Practice

Active Individual
NPI: 1194775502

Practice Address

706 W CENTRE AVE
Portage, MI 49024

Phone: (269) 323-1679

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes 2901011400 (MI)

Frequently Asked Questions

NPI 1194775502 is the National Provider Identifier for RICHARD SHOCKLEY, D.D.S., a Dentist - General Practice provider located in Portage, MI. This NPI was enumerated on May 10, 2006.
RICHARD SHOCKLEY, D.D.S. practices at 706 W CENTRE AVE, Portage, MI 49024.

Quick Facts

NPI
1194775502
Type
Individual
Enumerated
May 10, 2006
Last Updated
Mar 23, 2012

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