Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Brenda J Bates, CRDH

Individual provider Dental Hygienist · NPI 1013654912

Mrs. Brenda J Bates, CRDH is a Dental Hygienist in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2022.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

619 S Marion Ave
Lake City, FL 32025-5808
Phone: (386) 155-3016
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 14857 (FL)

Record details

NPI number1013654912
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRDH
Sole proprietorNo
NPI enumeratedMay 13, 2022
Last updated in NPPESMay 13, 2022
Certification dateMay 13, 2022

Other providers in Lake City