MRS. TRACI ANNE SHAMBO


Address: Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473
Phone: 5735960408

MRS. TRACI ANNE SHAMBO (NPI# 1982198453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982198453
Entity Type Individual
Full Name MRS. TRACI ANNE SHAMBO
Credential RDH
Practice Address Bldg. 400 Virginia Ave
Fort Leonard Wood
MO 65473
Mailing Address 22964 Revelation Rd
Waynesville
MO 65583-7827
Practice Telephone 5735960408
Mailing Telephone 7244966814
Enumeration Date 2018-06-19
Last Update Date 2018-06-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 2012040673 MO Dental Providers

Office Location

Street Address BLDG. 400 VIRGINIA AVE
City FORT LEONARD WOOD
State MO
Zip Code 65473

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770192759 Clara Boo Chai Physician Assistant General Leonard Wood Army Community Hospital, 4430 Missouri Ave, #1267, Fort Leonard Wood, MO 65473 2020-07-27
1083133771 Mary Joan Klemp Family Medicine Ganeral Leonard Wood Army Community Hospital, 4430 Missouri Ave; Meddac Case Management; Primary Care, Fort Leonard Wood, MO 65473 2017-09-13
1255791851 Sarah Elizabeth Joy Physician Assistant 885 West 16th Street, Fort Leonard Wood, MO 65473 2016-02-25
1548626948 Jaimie-lee Musen Physical Therapist 4430 Missouri Ave, Glwach, Fort Leonard Wood, MO 65473 2016-01-14
1609240852 Angela Carson Registered Nurse 4330 Missouri Avenue, Fort Leonard Wood, MO 65473 2015-11-25
1811379407 Katharine Leigh Stringer Dentist 12720 Kansas Avenue, Fort Leonard Wood, MO 65473 2015-06-19
1548656044 General Leonard Wood Army Community Hospital Clinic/Center 12720 Kansas Ave, Bldg 789, Fort Leonard Wood, MO 65473 2015-04-10
1740670314 Terricka Stewart Specialist/Technologist 885 West 16th St., Fort Leonard Wood, MO 65473 2015-02-03
1427467265 Dianna Morrison Social Worker 4430 Missouri Ave Box 1278, Fort Leonard Wood, MO 65473 2014-08-06
1265848634 Rachel Lopp Specialist/Technologist Bld 901, Room 131, Fort Leonard Wood, MO 65473 2014-07-07
Find all providers in zip 65473

Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy 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.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629682943 Seong Jin Park Dental Hygienist 6958 Nebraska Ave Bldg 1608, Fort Leonard Wood, MO 65473-1618 2020-09-03
1497105688 Lisa Diane Moss Dental Hygienist 5047 Virginia Ave, Bldg 500, Fort Leonard Wood, MO 65473-9126 2016-06-17
1346855137 Jorge Aori Martell Dental Hygienist 6958 Nebraska Ave Bldg 1608, Fort Leonard Wood, MO 65473-1618 2020-09-09
1922451277 April Bliss Dental Hygienist 5047 Virginia Ave, Bldg 500, Fort Leonard Wood, MO 65473-9126 2016-07-21
1497108773 Jeri Denise Trammel Dental Hygienist 5047 Virginia Ave, Bldg 500, Fort Leonard Wood, MO 65473-9126 2016-07-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194323238 Marcia Poe Dental Hygienist 20815 S Dean Rd, Belton, MO 64012-9132 2020-10-12
1447868542 Emily Sue Leslie Dental Hygienist 315 W Mulberry Ste B, Pilot Knob, MO 63663-7860 2020-07-15
1396237863 Maegen Mone Taylor Dental Hygienist 547 S Business Highway 13, Lexington, MO 64067 2018-05-31
1740798750 Julie R Phillips Dental Hygienist 10007 Nw Lema Dr Apt C, Parkville, MO 64152-3933 2018-01-12
1639618325 Tabitha Vollmer Dental Hygienist 1701 W. Sunshine Street, Suite Q, Springfield, MO 65807-2261 2017-02-15
1588113773 Heather Annette Henke Dental Hygienist #5 Health Department Drive, Troy, MO 63379-4451 2016-09-28
1720532104 Angela Faurot Dental Hygienist 4001 Pine View Dr, Columbia, MO 65202-4209 2016-08-15
1972986602 Crystal Moser Dental Hygienist 2612 W Cover Dr, Ozark, MO 65721-5469 2015-06-30
1003295460 Kyra J Tracy Dental Hygienist 608 S Missouri St., Waverly, MO 64096 2015-05-19
1770981821 Daniel Warner Dental Hygienist 4955 S National Ave, Springfield, MO 65810-2989 2014-12-05
Find all providers with the same taxonomy

Competitor

Search similar providers

City FORT LEONARD WOOD
Zip Code 65473

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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