SHANDALEE KIMBERLEE MACEDO NPI 1659142040

NPI Information

  • NPI: 1659142040
  • Provider Name: SHANDALEE KIMBERLEE MACEDO
  • Classification: Dentist - 122300000X
  • Entity Type: Individual
  • Address: 1365 OHIO AVE APT 304
    LONG BEACH, CA
    ZIP 90804
  • Phone: (951) 807-8204

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NPI Details

Shandalee Kimberlee Macedo is a dentist in Long Beach, CA. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. Shandalee Kimberlee Macedo NPI is 1659142040. 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:

1365 OHIO AVE APT 304
LONG BEACH, CA
ZIP 90804-450
Phone: (951) 807-8204

The enumeration date for this NPI number is 1/15/2024 and was last updated on 1/15/2024.

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
1101Y00000XCounselorNo
2103TF0000XPsychologistFamilyNo
3103TS0200XPsychologistSchoolNo
4122300000XDentist29049NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1236MEDICAIDDISTRICT OF COLUMBIA
25874OTHERHEALTH PARTNERS
3568946544OTHERBCBS

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: 11/21/2025

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