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Dr. Leo Russell Shockley JR., DDS
General Practice Dentistry in Floodwood, Minnesota
NPI 1942290226

Leo Russell Shockley JR. is a General Practice Dentistry based in Alborn, MN and is specialized in General Practice. Leo Russell Shockley JR. practices in Floodwood, MN and has the professional credentials of DDS. The NPI Number for Leo Russell Shockley JR. is 1942290226 and holds a License No. 9231 (Minnesota).

The current practice location address for Leo Russell Shockley JR. is 601 Highway 73, Floodwood, MN and can be reached out via phone at 218-476-2969 and via fax at 218-476-1599.

Location: 601 Highway 73, Floodwood, MN, 55702-8277
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942290226
Provider Name
Leo Russell Shockley JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
601 Highway 73, Floodwood, MN, 55702-8277
Phone Number
218-476-2969
Fax Number
218-476-1599
Provider Enumeration Date
10/26/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
601 Highway 73
City
Floodwood
State
Minnesota
Zip
55736-8450
Phone Number
218-476-2969
Fax Number
218-476-1599
person
Provider Business Mailing Address Details
Address
601 Highway 73
City
Floodwood
State
Minnesota
Zip
55736-8450
Phone Number
218-476-2969
Fax Number
218-476-1599
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
9231 (Minnesota)
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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