DR. LEO RUSSELL SHOCKLEY JR. D.D.S
NPI 1942290226
Dentist - General Practice in Floodwood, MN

Active since October 26, 2005
601 HIGHWAY 73, FLOODWOOD, MN 55736(218) 476-2969(218) 476-1599 Get Directions Write a Review

NPPES record last updated: May 9, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Leo Russell Shockley Jr. D.d.s NPPES

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

DR. LEO RUSSELL SHOCKLEY JR. D.D.S (NPI 1942290226) is an individual general practice provider in Floodwood, Minnesota, licensed in Minnesota (9231) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1942290226
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LEO RUSSELL SHOCKLEY JR.Credential: D.D.S
Location Address601 HIGHWAY 73Floodwood, MN 55736-8450
Mailing Address8991 W Shipley RdAlborn, MN 55702-8277 · (210) 393-5115
Fax(218) 476-1599
Sole ProprietorNo
Enumeration DateOctober 26, 2005
Last NPPES UpdateMay 9, 2017
NPI 1942290226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MN · 9231
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.
601 HIGHWAY 73, Floodwood, MN 55736

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Advanced Practice Dental Therapist
601 HIGHWAY 73
FLOODWOOD, MN 55736
Dentist
601 HIGHWAY 73, SCENIC RIVERS DENTAL
FLOODWOOD, MN 55736
Dentist
601 HIGHWAY 73, BOX 46
FLOODWOOD, MN 55736

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 Leo Shockley's NPI number?

The NPI number for Leo Shockley is 1942290226. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Leo Shockley located?

Leo Shockley practices at 601 Highway 73, Floodwood, MN 55736. The listed phone number is (218) 476-2969.

What is Leo Shockley's specialty?

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

What insurance does Leo Shockley accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Leo 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 Leo Shockley was last updated on May 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.