Individual provider · Type 1 NPI
Shirley Bootz, LDH
Dental Hygienist · South Bend, IN
Practice location
220 Dean Johnson Blvd
South Bend, IN 46601-3415
Fax (574) 236-7166
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist Primary | 124Q00000X | 13004216A (IN) |
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 1790444248
Shirley Bootz, LDH's National Provider Identifier is 1790444248, issued on Dec 13, 2021. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in South Bend, IN. The record was last updated on Dec 13, 2021.