Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194919779 Individual Practitioner Male Practitioner

Dr. Todd David Shockley , DMD

Dentist - General Practice • Keystone Heights, FL

Professional Overview & Biography Verified Profile Summary

Dr. Todd Shockley, DMD is a registered healthcare professional specializing in Dentist - General Practice in Keystone Heights, FL. Practice services are available at 260 S LAWRENCE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

260 S Lawrence Blvd
Suite 102

Keystone Heights, FL 326569217

Telephone 3524730707
Fax 3524735187

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Keystone Heights, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Keystone Heights, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN15741

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1477690709

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 28, 2007

NPI status registered as active in NPPES database

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Updated Practice Location August 28, 2007

Registered at 260 S LAWRENCE BLVD, SUITE 102, KEYSTONE HEIGHTS, FL 326569217 (Tel: 3524730707)

📍
Updated Business Mailing Address August 28, 2007

Registered at 260 S LAWRENCE BLVD, SUITE 102, KEYSTONE HEIGHTS, FL 326569217 (Tel: 3524730707)

👤
Provider Name / Credentials Updated August 28, 2007

Recorded as TODD SHOCKLEY, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2007

Dentist (License #DN15741 in FL)

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Initial NPI Registration & Enumeration August 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194919779
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2007
Last Update: August 28, 2007
Sole Proprietor: Yes

Mailing Address

260 S Lawrence Blvd, Suite 102

Keystone Heights, FL 326569217

Phone: 3524730707

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.