DOMINIQUE SHANEY SUBER RDHAP NPI 1043030190

NPI Information

  • NPI: 1043030190
  • Provider Name: DOMINIQUE SHANEY SUBER, RDHAP
  • Classification: Dental Hygienist - 124Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3175 PUFFIN CIR
    FAIRFIELD, CA
    ZIP 94533
  • Phone: (925) 421-8302

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NPI Details

Dominique Shaney Suber, RDHAP is a dental hygienist in Fairfield, CA. The provider is 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. Dominique Shaney Suber, RDHAP NPI is 1043030190. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3175 PUFFIN CIR
FAIRFIELD, CA
ZIP 94533-914
Phone: (925) 421-8302

The NPI 1043030190 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/14/2024 and was last updated on 10/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1124Q00000XDental HygienistHAP1092CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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