Provider Demographics
NPI:1265247613
Name:HOSKINS, SHAYLA (DDS)
Entity type:Individual
Prefix:DR
First Name:SHAYLA
Middle Name:
Last Name:HOSKINS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3495 S OLD HIGHWAY 91
Mailing Address - Street 2:
Mailing Address - City:MCCAMMON
Mailing Address - State:ID
Mailing Address - Zip Code:83250-1519
Mailing Address - Country:US
Mailing Address - Phone:208-241-8143
Mailing Address - Fax:
Practice Address - Street 1:150 W SEQUIM BAY RD
Practice Address - Street 2:
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-8406
Practice Address - Country:US
Practice Address - Phone:208-241-8143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-12
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61665716122300000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program