Shawna Renee Myers, RDH
Dental Hygienist in Ellington, MO. Individual provider (NPI-1).
NPI number1154504686
StatusActive
Last updated in NPPESDec 6, 2007
Details
- NPI
- 1154504686
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shawna Renee Myers
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2007
- Last updated
- Dec 6, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 2003015251 | MO | Yes |
Practice location
110 South 2nd StreetEllington, MO 63638-0157
Phone 573-663-2313 · Fax 573-663-2322
Mailing address
110 South 2nd StreetPo Box 157
Ellington, MO 63638-0157
Phone 573-663-2313 · Fax 573-663-2322
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