Individual provider · Type 1 NPI

Alexis R. Shimboff

Dental Hygienist · Mattoon, IL

NPI number 1023966264 Active

Practice location

225 Richmond Ave E Ste B
Mattoon, IL 61938-4651

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	020017455 (IL)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1023966264

Alexis R. Shimboff's National Provider Identifier is 1023966264, issued on Mar 20, 2026. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Mattoon, IL. The record was last updated on Mar 20, 2026.