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Shirley Bootz, LDH
Dental Hygienist in South Bend, Indiana
NPI 1790444248

Shirley Bootz is a Dental Hygienist based in South Bend, IN. Shirley Bootz practices in South Bend, IN and has the professional credentials of LDH. The NPI Number for Shirley Bootz is 1790444248 and holds a License No. 13004216A (Indiana).

The current practice location address for Shirley Bootz is 220 Dean Johnson Blvd, South Bend, IN and can be reached out via phone at 574-289-7001 and via fax at 574-236-7166. You can also correspond with Shirley Bootz through the mailing address at 220 DEAN JOHNSON BLVD, SOUTH BEND, IN - 46601-3415 (mailing address contact number: 574-289-7001).

Location: 220 Dean Johnson Blvd, South Bend, IN, 46601-3415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790444248
Provider Name
Shirley Bootz
Credential
LDH
Provider Entity Type
Individual
Gender
Female
Address
220 Dean Johnson Blvd, South Bend, IN, 46601-3415
Phone Number
574-289-7001
Fax Number
574-236-7166
Provider Enumeration Date
12/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
220 Dean Johnson Blvd
City
South Bend
State
Indiana
Zip
46601-3415
Phone Number
574-289-7001
Fax Number
574-236-7166
person
Provider Business Mailing Address Details
Address
220 Dean Johnson Blvd
City
South Bend
State
Indiana
Zip
46601-3415
Phone Number
574-289-7001
Fax Number
574-236-7166
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
13004216A (Indiana)
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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