Todd David Shockley, D.M.D.

General Practice Dentistry · Keystone Heights, FL

Individual Active NPI

NPI number 1194919779

Practice location

260 S Lawrence Blvd
Suite 102
Keystone Heights, FL 32656-9217
Phone
(352) 473-0707
Fax
(352) 473-5187

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NPI record

NPI
1194919779
Entity type
Individual (Type 1)
Enumeration date
August 28, 2007
Last updated
August 28, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN15741 FL

About Dr. Shockley

Todd David Shockley, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 260 S Lawrence Blvd, Suite 102, Keystone Heights, FL 32656-9217. The NPI number 1194919779 was assigned on August 28, 2007 and the record was last updated on August 28, 2007.

Dr. Shockley lists a license in the registry: #DN15741 (FL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Todd David Shockley, D.M.D.?

The NPI number is 1194919779.

What is the phone number of Dr. Shockley?

The phone number listed for the practice location is (352) 473-0707.

Where is Dr. Shockley located?

260 S Lawrence Blvd, Suite 102, Keystone Heights, FL 32656-9217.

What is the taxonomy code for Dr. Shockley?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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