BREANNE DICKENSON (NPI# 1669970117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669970117 |
| Entity Type | Individual |
| Full Name | BREANNE DICKENSON |
| Credential | RDH |
| Practice Address |
2107 Paseo San Luis Sierra Vista AZ 85635-4563 |
| Mailing Address |
2470 Montaro Dr Sierra Vista AZ 85650-1204 |
| Practice Telephone | 8138415838 |
| Practice Fax Number | 8138415838 |
| Mailing Telephone | 8138415838 |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2018-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | H008839 | AZ | Dental Providers |
| N | 124Q00000X | Dental Hygienist | DH24863 | FL | Dental Providers |
| Street Address |
2107 PASEO SAN LUIS |
| City | SIERRA VISTA |
| State | AZ |
| Zip Code | 85635-4563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386899573 | Neal Lebaron Jones | Dentist | 2107 Paseo San Luis, Sierra Vista, AZ 85635-4563 | 2008-12-01 |
| 1609139484 | Jonathan Douglas Evans | Dentist | 2107 Paseo San Luis, Sierra Vista, AZ 85635-4563 | 2012-06-18 |
| 1255615118 | Desert Vista Orthodontics, LLC | Dentist | 2107 Paseo San Luis, Sierra Vista, AZ 85635 | 2011-10-10 |
| 1093019804 | Jamie Rae White | Dentist | 2107 Paseo San Luis, Sierra Vista, AZ 85635-4563 | 2011-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134740640 | Taylor Anne Phelps | Student in an Organized Health Care Education/Training Program | Haven of Sierra Vista LLC, 660 Coronado Drive, Sierra Vista, AZ 85635 | 2020-05-06 |
| 1568001543 | Gp Medicine, Pllc | Family Medicine | 1800 E Wilcox Drive, Sierra Vista, AZ 85635 | 2019-12-23 |
| 1518515212 | Canyon Vista Dental | Dentist | 1993 S Frontage Road, Suite 208, Sierra Vista, AZ 85635 | 2019-08-27 |
| 1225697402 | Kristine Vincent Cruz Angeles | Dentist | 115 Calle Poral, Sierra Vista, AZ 85635 | 2019-06-11 |
| 1700397411 | Vivian Ryu | Social Worker | 2300 E Fry Blvd, #3822, Sierra Vista, AZ 85635 | 2017-10-20 |
| 1750806758 | Rosemary Nduta Kagwanja | Technician | 425 Bernini Avenue, N/a, Sierra Vista, AZ 85635 | 2017-08-10 |
| 1093245789 | Akdhc, LLC | Internal Medicine | 5555 Mesa Verde Dr, Suite 100, Sierra Vista, AZ 85635 | 2017-06-14 |
| 1609304633 | Vincent Guarino | Emergency Medicine | 5700 E, Az-90, Sierra Vista, AZ 85635 | 2017-06-04 |
| 1629506811 | Andrew Tang | Student in an Organized Health Care Education/Training Program | 5700 Arizona 90, Sierra Vista, AZ 85635 | 2017-06-01 |
| 1194259382 | Walik Hargett | Contractor | 800 N. Lenzner Ave Apt 776b, Sierra Vista, AZ 85635 | 2017-04-14 |
| Find all providers in zip 85635 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| 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. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336690619 | Jane Alice Sobel | Dental Hygienist | 4525 Campus Dr, Sierra Vista, AZ 85635-2232 | 2016-10-20 |
| 1255882171 | Theresa J Kibler | Dental Hygienist | 4525 Campus Dr, Sierra Vista, AZ 85635-2232 | 2016-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760096085 | Jerry Lee Collins Jr. | Dental Hygienist | 5205 E Cortland Blvd, Flagstaff, AZ 86004-9362 | 2020-09-03 |
| 1417560608 | Nicholette Congdon | Dental Hygienist | 208 E Knoles Drive, Flagstaff, AZ 86011-0001 | 2020-08-26 |
| 1093328437 | Ryan M Fisher | Dental Hygienist | 3300 S Gila Dr Apt 1, Flagstaff, AZ 86005-6537 | 2020-08-25 |
| 1609484369 | Sarah Lewallen | Dental Hygienist | 14804 N Cave Creek Rd # 105, Phoenix, AZ 85032-4945 | 2020-07-20 |
| 1033735402 | Denise Muesch Helm | Dental Hygienist | 1320 S Hilltop Ln, Cornville, AZ 86325-5143 | 2020-06-22 |
| 1134786726 | Lisa Dawn Russo | Dental Hygienist | 2855 E Blackhawk Ct, Gilbert, AZ 85298-1003 | 2019-05-20 |
| 1093274466 | Sarah Carter | Dental Hygienist | 801 N Wilmot Rd Ste B1, Tucson, AZ 85711-1708 | 2019-03-15 |
| 1679042378 | Jessica Marie Florez | Dental Hygienist | 12425 W Bell Rd Ste 120, Surprise, AZ 85378-9022 | 2018-11-26 |
| 1467921478 | Amy M Fulps | Dental Hygienist | 235 W Catalina Dr, Safford, AZ 85546-2537 | 2018-11-19 |
| 1649765868 | Kaitlyn April Ornelas | Dental Hygienist | 228 London Bridge Rd, Lake Havasu City, AZ 86403-4685 | 2018-06-29 |
| Find all providers with the same taxonomy | ||||
| City | SIERRA VISTA |
| Zip Code | 85635 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.