Individual provider · Type 1 NPI

Ketia Emmanuela Brutus, CRDH

Dental Hygienist · Port Charlotte, FL

NPI number 1891661252 Active

Practice location

4300 Kings Hwy Ste 500
Port Charlotte, FL 33980-2953

Call (239) 344-2337 Map

Mailing address

4790 Cromey Rd
North Port, FL 34288-7908

Specialties and licenses

Taxonomy	Code	License
Dental Hygienist Primary	124Q00000X	DH25970 (FL)

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 1891661252

Ketia Emmanuela Brutus, CRDH's National Provider Identifier is 1891661252, issued on Oct 14, 2025. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Port Charlotte, FL. The record was last updated on Oct 14, 2025.