institution
Jason E Shockley Ms, Dds, Pllc
Dental Clinic/Center in Craig, Colorado
NPI 1134613565

Jason E Shockley Ms, Dds, Pllc is a Dental Clinic/Center based in Craig, CO and is specialized in Dental. Jason E Shockley Ms, Dds, Pllc practices in Craig, CO. The NPI Number for Jason E Shockley Ms, Dds, Pllc is 1134613565 and holds a License No. DEN.00203594 (Colorado).

The current practice location address for Jason E Shockley Ms, Dds, Pllc is 580 Pershing St, Craig, CO and can be reached out via phone at 970-824-9785 and via fax at 970-824-2215.

Location: 580 Pershing St, Craig, CO, 81625-3047
institution
Provider Profile Details
NPI Number
1134613565
Provider Name
Jason E Shockley Ms, Dds, Pllc
Credential
Provider Entity Type
Organization
Address
580 Pershing St, Craig, CO, 81625-3047
Phone Number
970-824-9785
Fax Number
970-824-2215
Provider Enumeration Date
06/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
580 Pershing St
City
State
Zip
81625-3047
Phone Number
970-824-9785
Fax Number
970-824-2215
person
Provider Business Mailing Address Details
Address
580 Pershing St
City
State
Zip
81625-3047
Phone Number
970-824-9785
Fax Number
970-824-2215
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
DEN.00203594 (Colorado)
Definition
Definition to come...
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