Brittany Fonseca
Individual provider Active NPI Dental Hygienist · Saint Joseph, MO
NPI 1487522249 · NPPES record last updated Oct 24, 2025
Key facts
- NPI
- 1487522249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 2019040613 (MO)
- Practice address
- 2303 Village Dr
Saint Joseph, MO 64506-4954 - Phone
- (816) 232-6818
- Fax
- (816) 232-2991
- NPI assigned
- Oct 24, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019040613 | MO | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2019040613 | MO | Yes |
Addresses
Primary practice location
2303 Village Dr
Saint Joseph, MO 64506-4954
Mailing address
PO Box 803886
Kansas City, MO 64180-3886
Other providers in Saint Joseph, MO
- Caroline Flanagan II
- Corinne M Flaska
- Frances Dea Flynt
- Fohdc LLC
- Scott Michael Folk
- Carmen Marie Ford
- Richard D Ford
- Brent Daniel Forrest
- Mandy Jean Forret
- Trey Kyle Forward
All providers in Saint Joseph, MO · Dental Hygienist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.