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NICOLE LYNN BREWSTER RDH BSDH MSADT NPI 1710765532


NPI Information

NPI: 1710765532
Provider Name: NICOLE LYNN BREWSTER, RDH BSDH MSADT
Classification: Dental Therapist - 125J00000X
Entity Type: Individual
Address:
2430 E HARMON AVE STE 1
LAS VEGAS, NV
ZIP 89121
Phone: (702) 796-0095
Get Directions

Nicole Lynn Brewster, RDH BSDH MSADT is a dental therapist in Las Vegas, NV. The provider is a Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations. Nicole Lynn Brewster, RDH BSDH MSADT NPI is 1710765532. 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:

2430 E HARMON AVE STE 1
LAS VEGAS, NV
ZIP 89121-338
Phone: (702) 796-0095
Fax: (702) 761-4551

The enumeration date for this NPI number is 9/21/2023 and was last updated on 9/21/2023.


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
1125J00000XDental TherapistDT120MINNESOTAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.