Diana Sue Shelby is a Denturist in Kennewick, Washington. Diana Sue Shelby practices all healthcare services and medical treatments related to Denturist. The NPI Number for Diana Sue Shelby is 1104933571. The last update date is 2007-07-08.
Diana Sue Shelby's current location address is 5219 West Clearwater Ave, Kennewick, Washington. You can contact this provider via phone number 5093741660 and fax number 5093749374. The mailing address for Diana Sue Shelby is 5219 West Clearwater Ave, Kennewick, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diana Sue Shelby |
|---|---|
| Address | 5219 West Clearwater Ave, Kennewick, Washington |
| Phone Number | 5093741660 |
| Fax Number | 5093749374 |
| Sole Proprietor | N |
| Credentials | DPD |
NPI Number Detail
| NPI Number | 1104933571 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5219 West Clearwater Ave |
|---|---|
| City | Kennewick |
| State | Washington (WA) |
| Post Code | 99336 |
| Phone Number | 5093741660 |
| Fax Number | 5093749374 |
Provider's Primary Taxonomy Detail
| Speciality | Denturist |
|---|---|
| Taxonomy | 122400000X |
| Licence No | DN00000253 |
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Definition: A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 15049275 | WA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Diana Sue Shelby by the Centers for Medicare & Medicaid Services?
The Diana Sue Shelby has been issued the NPI (National Provider Identifier) 1104933571. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Diana Sue Shelby is physically located?
The Diana Sue Shelby is situated at the following address: 5219 West Clearwater Ave, Kennewick, WA 99336.
What is Diana Sue Shelby's specialized field of practice, and what is the corresponding taxonomy classification code?
The Diana Sue Shelby's area of specialization is Denturist, and the corresponding taxonomy code that categorizes this field of practice is 122400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104933571 to Diana Sue Shelby?
The Centers for Medicare & Medicaid Services assigned the 1104933571 to Diana Sue Shelby on 2006-08-23.
When was the Diana Sue Shelby's information last updated?
The Diana Sue Shelby's information was last updated on 2007-07-08.
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