Shockley, Phillip
Shockley, Phillip is an individual health care provider with primary practice located at 7164 Hacks Cross Rd , Olive Branch MS 38654-4472. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Shockley, Phillip can be contacted via phone (662) 627-3633.Contact Information
Primary practice address
7164 Hacks Cross Rd
Olive Branch MS 38654-4472
Phone: (662) 627-3633
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4385-23 | Mississippi |
Profile Details
| NPI number | 1174207047 |
|---|---|
| LBN Legal business name | Shockley, Phillip |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2023 |
| Last updated | Jun 12th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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