MRS. TRACI ANNE SHAMBO RDH
NPI 1982198453
Dental Hygienist in Fort Leonard Wood, MO

Q: What is Traci Shambo's NPI number?

The NPI number for Traci Shambo is 1982198453. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Q: What is Traci Shambo'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 Traci Shambo was last updated on June 19, 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 June 19, 2018

BLDG. 400 VIRGINIA AVE, FORT LEONARD WOOD, MO 65473(573) 596-0408 Get Directions Write a Review

NPPES record last updated: June 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Traci Anne Shambo Rdh NPPES

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

MRS. TRACI ANNE SHAMBO RDH (NPI 1982198453) is an individual dental hygienist in Fort Leonard Wood, Missouri, licensed in Missouri (2012040673) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1982198453

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameMRS. TRACI ANNE SHAMBOCredential: RDH

Location AddressBLDG. 400 VIRGINIA AVEFort Leonard Wood, MO 65473

Mailing Address22964 Revelation RdWaynesville, MO 65583-7827 · (724) 496-6814

Phone(573) 596-0408

Sole ProprietorNo

Enumeration DateJune 19, 2018

✔ NPI 1982198453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in MO · 2012040673

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.

BLDG. 400 VIRGINIA AVE, Fort Leonard Wood, MO 65473

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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 Traci Shambo's NPI number?

The NPI number for Traci Shambo is 1982198453. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Where is Traci Shambo located?

Traci Shambo practices at Bldg. 400 Virginia Ave, Fort Leonard Wood, MO 65473. The listed phone number is (573) 596-0408.

What is Traci Shambo'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 Traci Shambo was last updated on June 19, 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.