ELIZABETH BRUTUS R.D.H.A.P.
NPI 1376929638
Advanced Practice Dental Therapist in San Bernardino, CA

Active since August 09, 2015
2623 S ANDREWS LN, SAN BERNARDINO, CA 92408(909) 222-4654 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth Brutus R.d.h.a.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH BRUTUS R.D.H.A.P. (NPI 1376929638) is an individual advanced practice dental therapist in San Bernardino, California, licensed in California (585) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1376929638
Entity TypeIndividualFemale
Primary Taxonomy125K00000X
Provider Legal NameELIZABETH BRUTUSCredential: R.D.H.A.P.
Location Address2623 S ANDREWS LNSan Bernardino, CA 92408-4191
Mailing Address2623 S Andrews LnSan Bernardino, CA 92408-4191 · (909) 222-4654
Sole ProprietorYes
Enumeration DateAugust 9, 2015
Last NPPES UpdateJanuary 12, 2021
NPPES CertifiedJanuary 12, 2021
NPI 1376929638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAdvanced Practice Dental TherapistDental Providers
Taxonomy Code125K00000X
License Licensed in CA · 585
Definition
An Advanced Practice Dental Therapist is:
(1) A dental therapist who has completed additional training beyond basic dental therapy education and provides dental services in accordance with state advanced practice dental therapist laws or statutes; or
(2) A dental hygienist with a graduate degree in advanced dental therapy prepared for independent and interdependent decision making and direct accountability for clinical judgment across the dental health care continuum.

The individual has been authorized by the relevant state board or a tribal entity to provide services under the remote supervision of a dentist. The functions of the advanced practice dental therapist vary based on the needs of the dentist, the educational preparation of the advanced practice dental therapist and state dental practice acts and regulations.
Also ListedDental HygienistTaxonomy 124Q00000X · License 19425 (CA)
2623 S ANDREWS LN, San Bernardino, CA 92408

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
2623 S ANDREWS LN
SAN BERNARDINO, CA 92408

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Brutus's NPI number?

The NPI number for Elizabeth Brutus is 1376929638. It was assigned to this individual provider in the NPPES registry on August 9, 2015.

Where is Elizabeth Brutus located?

Elizabeth Brutus practices at 2623 S Andrews Ln, San Bernardino, CA 92408. The listed phone number is (909) 222-4654.

What is Elizabeth Brutus's specialty?

The primary specialty registered for this NPI is Advanced Practice Dental Therapist with taxonomy code 125K00000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Brutus was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.