Provider Demographics
NPI:1154008399
Name:ROOKEY, SHAUNIE LEIGH
Entity type:Individual
Prefix:
First Name:SHAUNIE
Middle Name:LEIGH
Last Name:ROOKEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHAUNIE
Other - Middle Name:LEIGH
Other - Last Name:ROOKEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RDH
Mailing Address - Street 1:31 TOBIN RD
Mailing Address - Street 2:
Mailing Address - City:CHERRY VALLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01611-3236
Mailing Address - Country:US
Mailing Address - Phone:774-289-8722
Mailing Address - Fax:
Practice Address - Street 1:19 TACOMA ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-3516
Practice Address - Country:US
Practice Address - Phone:508-852-1805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADH89015124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist