Dickenson, Breanne
Dickenson, Breanne is an individual health care provider with primary practice located at 2107 Paseo San Luis , Sierra Vista AZ 85635-4563. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Dickenson, Breanne can be contacted via phone (813) 841-5838.Contact Information
Primary practice address
2107 Paseo San Luis
Sierra Vista AZ 85635-4563
Phone: (813) 841-5838
Fax: (813) 841-5838
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH24863 | Florida |
| Dental Providers / Dental Hygienist | 124Q00000X | H008839 | Arizona |
Profile Details
| NPI number | 1669970117 |
|---|---|
| LBN Legal business name | Dickenson, Breanne |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2018 |
| Last updated | Jan 30th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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