IndividualActive
Brenda Bates, CRDH
NPI 1013654912 · Dental Hygienist · Lake City, FL
Provider details
- NPI number
- 1013654912
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- CRDH
- Sex
- Female
- Sole proprietor
- No
- License
- 14857 (FL)
Specialties & taxonomies
Dental Providers
Practice location
619 S Marion Ave
Lake City, FL 32025-5808
Phone: (386) 155-3016
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 739
Branford, FL 32008-0739
Registry dates
- Enumerated
- 2022-05-13
- Last updated
- 2022-05-13
- Certified
- 2022-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.