Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD A. SHOCKLEY, D.D.S.
Active Sole ProprietorRICHARD A. SHOCKLEY, D.D.S. is a General Dentistry healthcare provider located in PORTAGE, Michigan. NPI 1194775502 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · PORTAGE, MI
Registration Details
- NPI Number
- 1194775502
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2006 (20.230525144818 yrs)
- Last Updated
- Mar 23, 2012
- License
-
2901011400 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
706 W CENTRE AVEPORTAGE, MI, 490245310Browse MI providers · Browse ZIP 49024
- Phone
- 2693231679
- Fax
- 2693231536
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in PORTAGE, MI
| Name | Credential | NPI |
|---|---|---|
| DR. FRANK ALLEY | DDS | 1003895723 |
| DR. LINDA E HUBBARD | M.D. | 1629048400 |
| DR. KEITH ANTHONY COHRS | D.D.S. | 1346276623 |
| DR. DAVID STANFORD NOVAK | DDS | 1215041413 |
| DR. JAMES HAROLD TONN | D.D.S. | 1184722878 |
| DR. JACK M HOSNER | D.D.S. | 1295835874 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.