NPI 1154504686

Shawna Renee Myers, RDH

Practitioner Dental Hygienist Ellington, MO

Practice location

Address: 110 South 2nd Street, Ellington, MO 63638-0157
Phone: (573) 663-2313
Fax: (573) 663-2322
Mailing address: 110 South 2nd Street PO Box 157, Ellington, MO 63638-0157

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 2003015251 (MO)

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Registry record

NPI: 1154504686
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Dec 2007
Record last updated: 6 Dec 2007

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.