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Howard Shockett

Dentist, Periodontics in Westminster, MD. Individual provider (NPI-1).

NPI number1366580904
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1366580904
Entity type
Individual (NPI-1)
Name
Howard Shockett
Sex
Male
Sole proprietor
No
Enumeration date
Feb 4, 2007
Last updated
Jul 8, 2007

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
Medicare opt-out
Jun 23, 2015 to Jun 23, 2027
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics6967MDYes

Practice location

412 Malcolm Dr
Westminster, MD 21157-6115

Phone 410-848-3838

Mailing address

412 Malcolm Dr
Westminster, MD 21157-6115

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Periodontics providers in Westminster, MD

All 6 Periodontics providers in Westminster · All 2,081 providers in Westminster

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