Michael C. Shuck, DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401411834 Issued in VA

Legal business name

MICHAEL C. SHUCK, DDS PC

Practice address

1480 Quarterpath Rd
Ste 2a
Williamsburg, VA 23185

Phone

(757) 345-2295

NPI assigned

Jun 2, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael C Shuck, DDSNPI 1902098817

Title

President

Phone

(757) 345-2295

Specialties & licenses 1

Addresses

Other names 1

• Quarterpath Dental Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael C. Shuck, D.D.S.

  • General Practice Dentistry
  • Williamsburg, VA
  • NPI 1902098817
  NPD (past) Authorized official
• Shawn Anthony Mitchell, DDS

  • Dentist
  • Williamsburg, VA
  • NPI 1134609829
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1194173922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 QUARTERPATH RD",
            "address_2": "STE 2A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23185",
            "telephone_number": "757-345-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 QUARTERPATH RD",
            "address_2": "STE 2A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23185",
            "telephone_number": "757-345-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C. SHUCK, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "SHUCK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-345-2295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quarterpath Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Christine Merrill, M.D.
• Sarah Elizabeth Goy Merten, LPC
• Honey Metheny, RBT
• Matthew A Meyer, MD
• Michael a Dente Jr DPM PLC
• Erin Elizabeth Michael, M.S. CCC-SLP
• Michumi PLLC
• Mid-Atlantic Womens Care
• Mildcare Behavioral Health Solution LLC
• Bianca Miles

• General Practice Dentistry in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.