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Search › Michigan › General Practice Dentistry

Richard Shockley, D.D.S

NPI 1194775502 · on the registry since 2006 · sole proprietor

Practice

Address
706 W Centre Ave
Portage, MI 49024
Phone
(269) 323-1679
Fax
(269) 323-1536
Organisation at this address
Midwest Family Dental Care Portage Pc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-03-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan