Provider Demographics
NPI:1881482297
Name:SCHOCK, ERIC VAN (DDS)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:VAN
Last Name:SCHOCK
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 EMMET ST
Mailing Address - Street 2:
Mailing Address - City:GRAND HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49417-1737
Mailing Address - Country:US
Mailing Address - Phone:616-843-4422
Mailing Address - Fax:
Practice Address - Street 1:1259 S WABASH AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60605-2412
Practice Address - Country:US
Practice Address - Phone:312-846-6752
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-26
Last Update Date:2025-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program