Doctor profile · Federal record
Dr. Phillip Shockley, DDS
General Practice Dentistry · Olive Branch, MS
- NPI 1174207047
- 3 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
7164 Hacks Cross RD
Olive Branch, MS 386544472
(662) 627-3633
Credentials & registration
- NPI registered
- June 2023 — 3 yrs on file
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Mississippi #4385-23
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1174207047. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$25
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Dentsply Sirona INC | 1 | $25.39 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
17
Patients
13
Total drug cost
$38
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Ibuprofen | Generic | 17 | 13 | $38 |
Frequently asked questions
What is Dr. Phillip Shockley's medical specialty?
Dr. Phillip Shockley practices General Practice Dentistry in Olive Branch, MS.
Where does Dr. Phillip Shockley practice?
Dr. Phillip Shockley practices at 7164 Hacks Cross RD, Olive Branch, MS 386544472. Office phone: 6626273633.
What is Dr. Phillip Shockley's NPI?
Dr. Phillip Shockley's National Provider Identifier (NPI) is 1174207047, issued by NPPES.