Individual provider · Type 1 NPI

Shannon Kelly Miller, RDH

Dental Hygienist · Oquawka, IL

NPI number 1841801099 Active

Practice location

1204 Hwy 164 E
Oquawka, IL 61469

Fax (309) 867-3205

Mailing address

PO Box 129 Oquawka Il 61469, 111 S. 10th St. Oquawka Il 61469
Oquawka, IL 61469

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X020.011534 (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 1841801099

Shannon Kelly Miller, RDH's National Provider Identifier is 1841801099, issued on Aug 12, 2020. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Oquawka, IL. The record was last updated on Aug 12, 2020.