Individual provider · Type 1 NPI

Shandra Patrice Brooks, RDH

Dental Hygienist · Fort Campbell, KY

NPI number 1629427596 Active

Practice location

Bldg 2441 21st Street, US Army Dental Activity
Fort Campbell, KY 42223

Call (270) 798-8977 Map

Fax (270) 956-0266

Mailing address

5580 Air Assault And Desert Storm
Fort Campbell, KY 42223

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist 124Q00000X4921 (TN)
Dental Hygienist Primary 124Q00000X0000004921 (TN)

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…

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About NPI 1629427596

Shandra Patrice Brooks, RDH's National Provider Identifier is 1629427596, issued on Jun 10, 2016. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Fort Campbell, KY. The record was last updated on Jun 10, 2022.