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SHIRLEY BOOTZ LDH
NPI 1790444248
Dental Hygienist in South Bend, IN

Active since December 13, 2021
220 DEAN JOHNSON BLVD, SOUTH BEND, IN 46601(574) 289-7001(574) 236-7166 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shirley Bootz Ldh NPPES

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

SHIRLEY BOOTZ LDH (NPI 1790444248) is an individual dental hygienist in South Bend, Indiana, licensed in Indiana (13004216A) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1790444248
Entity TypeIndividualFemale
Primary Taxonomy124Q00000X
Provider Legal NameSHIRLEY BOOTZCredential: LDH
Location Address220 DEAN JOHNSON BLVDSouth Bend, IN 46601-3415
Mailing Address220 Dean Johnson BlvdSouth Bend, IN 46601-3415 · (574) 289-7001
Phone(574) 289-7001
Fax(574) 236-7166
Sole ProprietorNo
Enumeration DateDecember 13, 2021
NPPES CertifiedDecember 13, 2021
✔ NPI 1790444248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in IN · 13004216A
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.
220 DEAN JOHNSON BLVD, South Bend, IN 46601
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Other Names 1

Former Name (1)Shirley Keen

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 Shirley Bootz's NPI number?

The NPI number for Shirley Bootz is 1790444248. It was assigned to this individual provider in the NPPES registry on December 13, 2021. The provider is also known as Shirley Keen.

Where is Shirley Bootz located?

Shirley Bootz practices at 220 Dean Johnson Blvd, South Bend, IN 46601. The listed phone number is (574) 289-7001.

What is Shirley Bootz'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 Shirley Bootz was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.