Individual
MICHAEL C. SHUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1480-2A QUARTERPATH ROAD, WILLIAMSBURG, VA 23185
(757) 345-2295
Mailing address
1480-2A QUARTERPATH ROAD, WILLIAMSBURG, VA 23185
(757) 345-2295
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411834
VA
Other
Enumeration date
08/14/2007
Last updated
10/18/2011
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