SHELLY MARIE AZEVEDO RDH
NPI 1174021661
Dental Hygienist in Lodi, CA

Q: What is Shelly Azevedo's NPI number?

The NPI number for Shelly Azevedo is 1174021661. It was assigned to this individual provider in the NPPES registry on January 30, 2018.

Q: What is Shelly Azevedo's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Shelly Azevedo was last updated on January 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 30, 2018

311 W OAK ST, LODI, CA 95240(209) 327-2446 Get Directions Write a Review

NPPES record last updated: January 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shelly Marie Azevedo Rdh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHELLY MARIE AZEVEDO RDH (NPI 1174021661) is an individual dental hygienist in Lodi, California, licensed in California (11388) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1174021661

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameSHELLY MARIE AZEVEDOCredential: RDH

Location Address311 W OAK STLodi, CA 95240-3401

Mailing Address311 W Oak StLodi, CA 95240-3401 · (209) 327-2446

Phone(209) 327-2446

Sole ProprietorYes

Enumeration DateJanuary 30, 2018

✔ NPI 1174021661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in CA · 11388

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.

311 W OAK ST, Lodi, CA 95240

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLYSSA KATHERINE WARD

Speech-Language Pathologist

311 W OAK ST
LODI, CA 95240

San Joaquin County (919) 710-9229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shelly Azevedo's NPI number?

The NPI number for Shelly Azevedo is 1174021661. It was assigned to this individual provider in the NPPES registry on January 30, 2018.

Where is Shelly Azevedo located?

Shelly Azevedo practices at 311 W Oak St, Lodi, CA 95240. The listed phone number is (209) 327-2446.

What is Shelly Azevedo's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Shelly Azevedo was last updated on January 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.