Leo Russell Shockley in Floodwood - General Practice
Leo Russell Shockley - NPI 1942290226
Leo Russell Shockley is a General Practice in Floodwood, Minnesota. Leo Russell Shockley practices all healthcare services and medical treatments related to General Practice. The NPI Number for Leo Russell Shockley is 1942290226. The last update date is 2017-05-09.
Leo Russell Shockley's current location address is 601 Highway 73, Floodwood, Minnesota. You can contact this provider via phone number 2184762969 and fax number 2184761599. The mailing address for Leo Russell Shockley is 601 Highway 73, Floodwood, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leo Russell Shockley |
|---|---|
| Address | 601 Highway 73, Floodwood, Minnesota |
| Phone Number | 2184762969 |
| Fax Number | 2184761599 |
| Sole Proprietor | N |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1942290226 |
|---|---|
| Provider Enumeration Date | 2005-10-26 |
| Last Updated Date | 2017-05-09 |
Provider Mailing Address Detail
| Address | 601 Highway 73 |
|---|---|
| City | Floodwood |
| State | Minnesota (MN) |
| Post Code | 557368450 |
| Phone Number | 2184762969 |
| Fax Number | 2184761599 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 9231 |
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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. |
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What is the Leo Russell Shockley's unique identification number?
The Leo Russell Shockley has been assigned the NPI (National Provider Identifier) Number 1942290226 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Leo Russell Shockley's physical address?
The Leo Russell Shockley is physically located at 601 Highway 73, in the city of Floodwood, MN, with the postal code 557368450.
What is Leo Russell Shockley's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Leo Russell Shockley's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did Leo Russell Shockley receive its 1942290226 assignment from the Centers for Medicare & Medicaid Services?
The Leo Russell Shockley was assigned its 1942290226 on 2005-10-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Leo Russell Shockley last refreshed?
The information related to the Leo Russell Shockley, including its address, specialty, and other relevant details, was last updated on 2017-05-09.
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