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NPI 1023966264

IndividualActive

Alexis Shimboff

NPI 1023966264 · Dental Hygienist · Mattoon, IL

Provider details

NPI number: 1023966264
Entity type: Individual
Primary specialty: Dental HygienistDental Providers
Sex: Female
Sole proprietor: No
License: 020017455 (IL)

Practice location

225 Richmond Ave E Ste B

Mattoon, IL 61938-4651

Phone: (217) 235-0800

More IL providers

Mailing address

225 Richmond Ave E Ste B

Mattoon, IL 61938-4651

Registry dates

Enumerated: 2026-03-20
Last updated: 2026-03-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alexis Shimboff — NPI 1023966264, Mattoon, IL | NPI Central