Judith M. Boothby in Fair Oaks - Dental Hygienist
Judith M. Boothby - NPI 1114059193
Judith M. Boothby is a Dental Hygienist in Fair Oaks, California. Judith M. Boothby practices all healthcare services and medical treatments related to Dental Hygienist. The NPI Number for Judith M. Boothby is 1114059193. The last update date is 2007-07-08.
Judith M. Boothby's current location address is 8139 Sunset Ave, Fair Oaks, California. You can contact this provider via phone number 9169889767 and fax number 9169891026. The mailing address for Judith M. Boothby is 8139 Sunset Ave, Fair Oaks, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith M. Boothby |
|---|---|
| Address | 8139 Sunset Ave, Fair Oaks, California |
| Phone Number | 9169889767 |
| Fax Number | 9169891026 |
| Sole Proprietor | Y |
| Credentials | RDHAP, BS |
NPI Number Detail
| NPI Number | 1114059193 |
|---|---|
| Provider Enumeration Date | 2007-03-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8139 Sunset Ave |
|---|---|
| City | Fair Oaks |
| State | California (CA) |
| Post Code | 956285131 |
| Phone Number | 9169889767 |
| Fax Number | 9169891026 |
Provider's Primary Taxonomy Detail
| Speciality | Dental Hygienist |
|---|---|
| Taxonomy | 124Q00000X |
| Licence No | HAP #1 |
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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 |
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What is the unique identification code assigned to Judith M. Boothby by the Centers for Medicare & Medicaid Services?
The Judith M. Boothby has been issued the NPI (National Provider Identifier) 1114059193. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Judith M. Boothby located?
The Judith M. Boothby is located at 8139 Sunset Ave, Fair Oaks, CA 956285131.
What is the Judith M. Boothby's area of specialization and corresponding taxonomy classification?
The Judith M. Boothby's specialty field is Dental Hygienist, and it falls under the taxonomy code 124Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114059193 to Judith M. Boothby?
The Centers for Medicare & Medicaid Services originally issued the 1114059193 to Judith M. Boothby on 2007-03-12.
When was the information regarding Judith M. Boothby most recently updated?
The details pertaining to the Judith M. Boothby, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.