Individual provider · Type 1 NPI

Angie Schuckenbrock

Dental Hygienist · Gillespie, IL

NPI number 1508729047 Active

Practice location

109 E Maple St
Gillespie, IL 62033-1473

Call (217) 839-4110 Map

Mailing address

9508 Spanish Needle Rd
Gillespie, IL 62033-3397

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X020011598 (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 1508729047

Angie Schuckenbrock's National Provider Identifier is 1508729047, issued on Dec 3, 2025. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Gillespie, IL. The record was last updated on Dec 3, 2025.