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

Richard A. Shockley, DDS

Individual provider General Practice Dentistry · NPI 1194775502

Richard A. Shockley, DDS is a General Practice Dentistry in Portage, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

706 W Centre Ave
Portage, MI 49024-5310
Phone: (269) 323-1679
Fax: (269) 323-1536
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2901011400 (MI)

Record details

NPI number1194775502
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 10, 2006
Last updated in NPPESMarch 23, 2012
Mailing address706 W Centre Ave, Portage, MI 49024-5310

Other providers in Portage