Shawna Renee Myers, RDH
Individual provider Active NPI Dental Hygienist · Ellington, MO
NPI 1154504686 · NPPES record last updated Dec 6, 2007
Key facts
- NPI
- 1154504686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 2003015251 (MO)
- Practice address
- 110 South 2ND Street
Ellington, MO 63638-0157 - Phone
- (573) 663-2313
- Fax
- (573) 663-2322
- NPI assigned
- Dec 6, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003015251 | MO | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2003015251 | MO | Yes |
Addresses
Primary practice location
110 South 2ND Street
Ellington, MO 63638-0157
Mailing address
110 South 2ND Street
PO Box 157
Ellington, MO 63638-0157
Phone (573) 663-2313
Other providers in Ellington, MO
- Heather Elizabeth McCormack
- Tonya Lynn Meade
- Medley Pharmacy Inc.
- Meramec Emergency Physicians, LLP
- Rachel E Morris
- Shelby Nicole Ohrenberg
- Paul De Vries Rains
- Iris Fae Ross
- Rodney T. Rubi
- Jenny S. Russell
All providers in Ellington, MO · Dental Hygienist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.