Organization
JASON E SHOCKLEY MS, DDS, PLLC
Active
Other names
Yampa Valley Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON E SHOCKLEY MS, DDS (DOCTOR)
(970) 824-9785
Entity
Organization
Contact information
Practice address
580 PERSHING ST, CRAIG, CO 81625-3047
(970) 824-9785
(970) 824-2215
Mailing address
580 PERSHING ST, CRAIG, CO 81625-3047
(970) 761-3365
(970) 824-2215
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DEN.00203594
CO
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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