Individual provider · Type 1 NPI

Shale Melissa Ninneman, DDS

Student in an Organized Health Care Education/Training Program · Sammamish, WA

NPI number 1649979212 Active

Practice location

2704 A 212th Ave SE, A
Sammamish, WA 98075

Call (425) 647-3747 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649979212

Shale Melissa Ninneman, DDS's National Provider Identifier is 1649979212, issued on Mar 2, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sammamish, WA. The record was last updated on Mar 2, 2023.