Individual provider · Type 1 NPI

Briana Amber Shackley, RDH

Dental Hygienist · Emmett, ID

NPI number 1932963295 Active

Practice location

1020 E Locust St
Emmett, ID 83617-2776

Fax (208) 865-1659

Mailing address

12671 W Endsley Ln
Star, ID 83669-1019

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XDH-4447 (ID)

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…

Another provider at this address

About NPI 1932963295

Briana Amber Shackley, RDH's National Provider Identifier is 1932963295, issued on Feb 7, 2024. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Emmett, ID. The record was last updated on Feb 7, 2024.