Shawna Bailey, RDHAP
Individual provider Active NPI Dental Hygienist · Hilmar, CA
NPI 1982000832 · NPPES record last updated Nov 5, 2014
Key facts
- NPI
- 1982000832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- RDHAP 546 (CA)
- Practice address
- 19947 1St St Ste 3
Box 191
Hilmar, CA 95324-9071 - Phone
- (209) 585-1785
- NPI assigned
- Nov 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| RDHAP 546 | CA | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | RDHAP 546 | CA | Yes |
Addresses
Primary practice location
19947 1St St Ste 3
Box 191
Hilmar, CA 95324-9071
Mailing address
19947 1St St Ste 3
Box 191
Hilmar, CA 95324-9071
Phone (209) 585-1785
Other providers in Hilmar, CA
- Aboaba A Afilaka
- Madison Aguiniga
- Tanisha Sharice Avery-Harmon
- Demetrius Dupree Avie
- Dana Eric Berry
- Ronald V Bjarnason
- Joe Borges
- Alejandra Chavez
- Christina'S Care Home
All providers in Hilmar, CA · Dental Hygienist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2014. 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.