Doctor profile · Federal record
Dr. Rock Shadduck, DMD
General Practice Dentistry · Wyncote, PA
- NPI 1124642392
- 6 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1000 Easton RD Ste 465
Wyncote, PA 190952900
(267) 367-5014 - Mailing address
-
633 W Rittenhouse St Apt B302
Philadelphia, PA 191444363
Credentials & registration
- NPI registered
- June 2020 — 6 yrs on file
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Pennsylvania #DS042686
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1124642392. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$31
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Align Technology, INC. | 2 | $30.62 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
20
Patients
18
Total drug cost
$73
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 20 | 18 | $73 |
Frequently asked questions
What is Dr. Rock Shadduck's medical specialty?
Dr. Rock Shadduck practices General Practice Dentistry in Wyncote, PA.
Where does Dr. Rock Shadduck practice?
Dr. Rock Shadduck practices at 1000 Easton RD Ste 465, Wyncote, PA 190952900. Office phone: 2673675014.
What is Dr. Rock Shadduck's NPI?
Dr. Rock Shadduck's National Provider Identifier (NPI) is 1124642392, issued by NPPES.