Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shirley Bootz, LDH

Individual provider Dental Hygienist · NPI 1790444248

Shirley Bootz, LDH is a Dental Hygienist in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2021.

Licensed in
IN
In the registry since
2021

Practice location Address checks out

220 Dean Johnson Blvd
South Bend, IN 46601-3415
Phone: (574) 289-7001
Fax: (574) 236-7166
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 13004216A (IN)

Record details

NPI number1790444248
Entity typeIndividual (Type 1)
GenderFemale
Credentials LDH
Sole proprietorNo
NPI enumeratedDecember 13, 2021
Last updated in NPPESDecember 13, 2021
Certification dateDecember 13, 2021
Mailing address220 Dean Johnson Blvd, South Bend, IN 46601-3415

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