IndividualActive
Connie Shryock
NPI 1376327767 · Dental Hygienist · Plummer, ID
Provider details
- NPI number
- 1376327767
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- DH-1856 (ID)
Specialties & taxonomies
Dental Providers
Practice location
427 12th St
Plummer, ID 83851-4000
Phone: (208) 686-1110
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 388
Plummer, ID 83851-0388
Registry dates
- Enumerated
- 2023-08-24
- Last updated
- 2023-08-24
- Certified
- 2023-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.