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DR. PHILLIP SHOCKLEY DDS
NPI 1174207047
Dentist - General Practice in Olive Branch, MS

Active since June 12, 2023
7164 HACKS CROSS RD, OLIVE BRANCH, MS 38654(662) 627-3633 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Phillip Shockley Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILLIP SHOCKLEY DDS (NPI 1174207047) is an individual general practice provider in Olive Branch, Mississippi, licensed in Mississippi (4385-23) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1174207047
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PHILLIP SHOCKLEYCredential: DDS
Location Address7164 HACKS CROSS RDOlive Branch, MS 38654-4472
Mailing Address7164 Hacks Cross RdOlive Branch, MS 38654-4472
Phone(662) 627-3633
Sole ProprietorNo
Enumeration DateJune 12, 2023
NPPES CertifiedJune 12, 2023
✔ NPI 1174207047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MS · 4385-23
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.
7164 HACKS CROSS RD, Olive Branch, MS 38654
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SYNTERIKA SHANTA WELCH
Prosthetist
7164 HACKS CROSS RD
OLIVE BRANCH, MS 38654
Desoto County (662) 209-1133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Shockley's NPI number?

The NPI number for Phillip Shockley is 1174207047. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Where is Phillip Shockley located?

Phillip Shockley practices at 7164 Hacks Cross Rd, Olive Branch, MS 38654. The listed phone number is (662) 627-3633.

What is Phillip Shockley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Phillip Shockley accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter of Alabama and 18 other insurers list Phillip Shockley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phillip Shockley was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.