Sara Elizabeth Brooks, RDH, BS
Individual provider Active NPI Dental Hygienist · Hannibal, MO
NPI 1760065494 · NPPES record last updated Apr 30, 2021
Key facts
- NPI
- 1760065494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 2013031274 (MO)
- Practice address
- 9126 Idell Creek LN
Hannibal, MO 63401-6458 - Phone
- (217) 231-1179
- NPI assigned
- Apr 30, 2021
- 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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013031274 | MO | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2013031274 | MO | Yes |
Addresses
Primary practice location
9126 Idell Creek LN
Hannibal, MO 63401-6458
Mailing address
9126 Idell Creek LN
Hannibal, MO 63401-6458
Phone (217) 231-1179
Other providers in Hannibal, MO
- Karen Branch
- Lauren N. Brandenburger
- Chad K Brands
- Brent C Smola, PC
- Kara Gene Brewer
- Morgan Bross
- Nakita Bross
- Olivia Addison Bross
- Beth Ann Brothers
- Molly Noelle Broughton
All providers in Hannibal, 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 Apr 30, 2021. 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.