Smile Premier a Dental Hygiene Practice of Elizabeth Brutus Rdhap Cor

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SMILE PREMIER A DENTAL HYGIENE PRACTICE OF ELIZABETH BRUTUS RDHAP COR

Practice address

2623 S Andrews LN
San Bernardino, CA 92408-4191

Phone

(909) 648-1985

NPI assigned

Nov 12, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Elizabeth BrutusNPI 1376929638

Title

Ceo

Phone

(909) 648-1985

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Brutus, R.D.H.A.P.

  • Advanced Practice Dental Therapist
  • San Bernardino, CA
  • NPI 1376929638
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1861094971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 S ANDREWS LN",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924084191",
            "telephone_number": "909-648-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 S ANDREWS LN",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924084191",
            "telephone_number": "909-648-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE PREMIER A DENTAL HYGIENE PRACTICE OF ELIZABETH BRUTUS RDHAP COR",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "BRUTUS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-648-1985",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David L. Slough, D.D.S.
• Brandy Ann Slusser, LMFT
• George H Small, M.D
• Madison Small
• Emily Rebecca Smeltzer, MD
• Christie Michelle Smirl, NP
• Donna Smith-Burgess, MFT
• Amanda Jasmine Smith, AMFT
• Amanda Marie Smith
• Amesha Corine Smith, BCBA

• Dental Clinic/Center in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.