Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIANA AMBER SHACKLEY, RDH
ActiveDental Hygienist · EMMETT, ID
Registration Details
- NPI Number
- 1932963295
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 7, 2024 (2.2101488845579 yrs)
- Last Updated
- Feb 7, 2024
- License
-
DH-4447 (ID)
Practice Information
- Address
-
1020 E LOCUST STEMMETT, ID, 836172776Browse ID providers · Browse ZIP 83617
- Phone
- 2083655064
- Fax
- 2088651659
- Primary Specialty
-
Dental Hygienist
124Q00000X
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.