NPI 1790444248

Shirley Bootz, LDH

Practitioner Dental Hygienist South Bend, IN

Practice location

Address: 220 Dean Johnson Blvd, South Bend, IN 46601-3415
Phone: (574) 289-7001
Fax: (574) 236-7166

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 13004216A (IN)

Other Dental Hygienist providers in Indiana →

Registry record

NPI: 1790444248
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Dec 2021
Record last updated: 13 Dec 2021

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.