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Mrs. Shasta Marie Kellerby, RDH
Dental Hygienist in Rifle, Colorado
NPI 1417228404

Shasta Marie Kellerby is a Dental Hygienist based in Grand Junction, CO. Shasta Marie Kellerby practices in Rifle, CO and has the professional credentials of RDH. The NPI Number for Shasta Marie Kellerby is 1417228404 and holds a License No. 904683 (Colorado).

The current practice location address for Shasta Marie Kellerby is 195 W 14Th, Rifle, CO and can be reached out via phone at 970-625-5200.

Location: 195 W 14Th, Rifle, CO, 81503-4808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417228404
Provider Name
Shasta Marie Kellerby
Credential
RDH
Provider Entity Type
Individual
Gender
Female
Address
195 W 14Th, Rifle, CO, 81503-4808
Phone Number
970-625-5200
Fax Number
Provider Enumeration Date
01/23/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
195 W 14Th
City
Rifle
State
Colorado
Zip
81650-4700
Phone Number
970-625-5200
Fax Number
person
Provider Business Mailing Address Details
Address
195 W 14Th
City
Rifle
State
Colorado
Zip
81650-4700
Phone Number
970-625-5200
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
904683 (Colorado)
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
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