Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHIRLEY BOOTZ, LDH
ActiveDental Hygienist · SOUTH BEND, IN
Registration Details
- NPI Number
- 1790444248
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 13, 2021 (4.368208412806 yrs)
- Last Updated
- Dec 13, 2021
- License
-
13004216A (IN)
Practice Information
- Address
-
220 DEAN JOHNSON BLVDSOUTH BEND, IN, 466013415Browse IN providers · Browse ZIP 46601
- Phone
- 5742897001
- Fax
- 5742367166
- Primary Specialty
-
Dental Hygienist
124Q00000X
Other Dental Hygienist Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| MALLORY EDMONDSON | MSDH, RDH | 1467920892 |
| MS. KELLI GUMM | RDH | 1871158279 |
| MRS. DOREEN CYNTHIA PIENKOWSKI | RDH | 1497317952 |
| ALMA DELIA COUNSELLOR | — | 1720605280 |
| MARY CRUZ AGUILAR | DENTAL HYGIENIST | 1659985497 |
| ANGELA BETH ALWINE | LDH | 1275203705 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.