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Mrs. Traci Anne Shambo, RDH
Dental Hygienist in Fort Leonard Wood, Missouri
NPI 1982198453

Traci Anne Shambo is a Dental Hygienist based in Waynesville, MO. Traci Anne Shambo practices in Fort Leonard Wood, MO and has the professional credentials of RDH. The NPI Number for Traci Anne Shambo is 1982198453 and holds a License No. 2012040673 (Missouri).

The current practice location address for Traci Anne Shambo is Bldg. 400 Virginia Ave, Fort Leonard Wood, MO and can be reached out via phone at 573-596-0408.

Location: Bldg. 400 Virginia Ave, Fort Leonard Wood, MO, 65583-7827
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982198453
Provider Name
Traci Anne Shambo
Credential
RDH
Provider Entity Type
Individual
Gender
Female
Address
Bldg. 400 Virginia Ave, Fort Leonard Wood, MO, 65583-7827
Phone Number
573-596-0408
Fax Number
Provider Enumeration Date
06/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
Bldg. 400 Virginia Ave
City
Fort Leonard Wood
State
Missouri
Zip
65473
Phone Number
573-596-0408
Fax Number
person
Provider Business Mailing Address Details
Address
Bldg. 400 Virginia Ave
City
Fort Leonard Wood
State
Missouri
Zip
65473
Phone Number
573-596-0408
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
2012040673 (Missouri)
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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