Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Todd David Shockley, DMD

Individual provider General Practice Dentistry · NPI 1194919779

Todd David Shockley, DMD is a General Practice Dentistry in Keystone Heights, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

260 S Lawrence Blvd Ste 102
Keystone Heights, FL 32656-9217
Phone: (352) 473-0707
Fax: (352) 473-5187
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN15741 (FL)

Record details

NPI number1194919779
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 28, 2007
Last updated in NPPESAugust 28, 2007

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