NPI 1376327767

Connie Shryock

Practitioner Dental Hygienist Plummer, ID

Practice location

Address: 427 12th St, Plummer, ID 83851-4000
Phone: (208) 686-1110
Mailing address: PO Box 388, Plummer, ID 83851-0388

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH-1856 (ID)

Other Dental Hygienist providers in Idaho →

Registry record

NPI: 1376327767
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Aug 2023
Record last updated: 24 Aug 2023

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.