BRENDA LIZETTE LEE RDHAP
NPI 1811796568
Advanced Practice Dental Therapist in Redlands, CA
- Individual
- Female
- Advanced Practice Dental Therapist
About BRENDA LEE
This page provides the complete NPI Profile along with additional information for Brenda Lee, a provider established in Redlands, California with a medical specialization in Advanced Practice Dental Therapist. The healthcare provider is registered in the NPI registry with number 1811796568 assigned on March 2025. The practitioner's primary taxonomy code is 125K00000X with license number 1040 (CA). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1811796568 Verify this NPI
- Provider Name
- BRENDA LIZETTE LEE RDHAP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 825 TRI CITY CTR REDLANDS, CA 92374
- Location Phone
- (909) 260-2161
- Mailing Address
- 8240 COUNTRY MILE LN RIVERSIDE, CA 92507
- Mailing Phone
- (909) 260-2161
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-13-2025
- Last Update Date
- 03-13-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Advanced Practice Dental Therapist
- Taxonomy Code
- 125K00000X
- Type
- Dental Providers
- License No.
- 1040
- License State
- CA
- Taxonomy Description
- 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.
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811796568, enumerated as an "individual" on March 13, 2025.
The provider is located at 825 TRI CITY CTR REDLANDS, CA 92374 and the phone number is (909) 260-2161.
Advanced Practice Dental Therapist with taxonomy code 125K00000X.
