NPI 1023966264

Alexis R Shimboff

Practitioner Dental Hygienist Mattoon, IL

Practice location

Address: 225 Richmond Ave E STE B, Mattoon, IL 61938-4651
Phone: (217) 235-0800

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 020017455 (IL)

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Registry record

NPI: 1023966264
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Mar 2026
Record last updated: 20 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.