Jason E Shockley Ms, Dds, Pllc

NPI #1134613565 in Craig, Colorado

Provider Information

NPI Number
1134613565
Entity Type
Organization
Organization Name
Jason E Shockley Ms, Dds, Pllc
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 19, 2018
Last Updated
Jun 19, 2018

Practice Location

Address
580 PERSHING ST
City
Craig
ZIP Code
81625-3047
Phone
(970) 824-9785

Authorized Official

Name
DR. JASON E SHOCKLEY, MS, DDS
Title
DOCTOR
Phone
(970) 824-9785

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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