Stetz, Shannon Michelle

Stetz, Shannon Michelle is an individual health care provider with primary practice located at 500 W Fort St , Boise ID 83702-4501. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Stetz, Shannon Michelle can be contacted via phone (208) 422-1000.

Contact Information

Primary practice address
500 W Fort St Boise ID 83702-4501
Phone: (208) 422-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X DH2281 Idaho
Dental Providers / Dental Hygienist 124Q00000X D5980 Oregon

Profile Details

NPI number 1962956904
LBN Legal business name Stetz, Shannon Michelle
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2016
Last updated Jun 10th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers