DR. Phillip Shockley, DDS

NPI #1174207047 in Olive Branch, Mississippi

Provider Information

NPI Number: 1174207047
Entity Type: Individual
Name: DR. Phillip Shockley, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 12, 2023
Last Updated: Jun 12, 2023

Practice Location

Address: 7164 HACKS CROSS RD
City: Olive Branch
State: Mississippi
ZIP Code: 38654-4472
Phone: (662) 627-3633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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