Ms. Shelly Lynn Blair
Dental Hygienist
1949 Bluestem Ln
Shoreview
, Minnesota 55126-5015
Ms. Shelly Lynn Blair
Dental Hygienist
1949 Bluestem Ln
Shoreview
, Minnesota 55126-5015
(763) 843-9235
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About
Features
Specialties
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Ms. Shelly Lynn Blair
- 1949 Bluestem Ln
- Shoreview, MN
- Zip : 55126-5015
- Phone : (763) 843-9235
Second Address
- Ms. Shelly Lynn Blair
- 1949 Bluestem Ln
- Shoreview, MN
- Zip : 55126-5015
- Phone : (763) 843-9235
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H6213 | MN |
National Provider Identifier
| NPI | 1033491584 |
|---|---|
| Provider Name | Ms. Shelly Lynn Blair |
| First Address | Shoreview, MN 55126-5015 |
| Second Address | Shoreview, MN 55126-5015 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/09/2011 |
| Last Update Date | 11/09/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.