Todd David Shockley in Keystone Heights - General Practice
Todd David Shockley - NPI 1194919779
Todd David Shockley is a General Practice in Keystone Heights, Florida. Todd David Shockley practices all healthcare services and medical treatments related to General Practice. The NPI Number for Todd David Shockley is 1194919779. The last update date is 2007-08-28.
Todd David Shockley's current location address is 260 S Lawrence Blvd, Keystone Heights, Florida. You can contact this provider via phone number 3524730707 and fax number 3524735187. The mailing address for Todd David Shockley is 260 S Lawrence Blvd, Keystone Heights, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Todd David Shockley |
|---|---|
| Address | 260 S Lawrence Blvd, Keystone Heights, Florida |
| Phone Number | 3524730707 |
| Fax Number | 3524735187 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1194919779 |
|---|---|
| Provider Enumeration Date | 2007-08-28 |
| Last Updated Date | 2007-08-28 |
Provider Mailing Address Detail
| Address | 260 S Lawrence Blvd |
|---|---|
| City | Keystone Heights |
| State | Florida (FL) |
| Post Code | 326569217 |
| Phone Number | 3524730707 |
| Fax Number | 3524735187 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DN15741 |
|
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Todd David Shockley by the Centers for Medicare & Medicaid Services?
The Todd David Shockley has been issued the NPI (National Provider Identifier) 1194919779 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Todd David Shockley's facilities are situated?
The facilities of Todd David Shockley are physically located at the following address: 260 S Lawrence Blvd, Keystone Heights, FL, 326569217.
What is Todd David Shockley's area of expertise and its corresponding taxonomy classification?
The Todd David Shockley's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1194919779 to Todd David Shockley?
The Centers for Medicare & Medicaid Services assigned the 1194919779 to Todd David Shockley on 2007-08-28.
When was the information regarding Todd David Shockley, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Todd David Shockley, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-08-28.