Individual provider · Type 1 NPI

Richard A. Shockley, DDS

General Practice Dentistry · Portage, MI

NPI number 1194775502 Active

About NPI 1194775502

Richard A. Shockley, DDS's National Provider Identifier is 1194775502, issued on May 10, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portage, MI. The record was last updated on Mar 23, 2012.