Individual provider · Type 1 NPI

Susan Marie Shada, RDH

Dental Hygienist · Thornton, CO

NPI number 1629214291 Active

Practice location

9197 Grant St
Thornton, CO 80229-4361

Call (303) 358-6092 Map

Mailing address

11470 Paris St
Henderson, CO 80640-7614

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH903675 (CO)

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 1629214291

Susan Marie Shada, RDH's National Provider Identifier is 1629214291, issued on Jan 1, 2009. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Thornton, CO. The record was last updated on Jan 1, 2009.