Individual provider · Type 1 NPI

Brandie Moses Leavell, RDHAP

Dental Hygienist · Loma Rica, CA

NPI number 1114884632 Active

Practice location

12460 Bayshore St
Loma Rica, CA 95901-9529

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X1204 (CA)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

About NPI 1114884632

Brandie Moses Leavell, RDHAP's National Provider Identifier is 1114884632, issued on Jan 7, 2026. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Loma Rica, CA. The record was last updated on Jan 7, 2026.