Healthcare Provider Details

I. General information

NPI: 1144132408
Provider Name (Legal Business Name): BRIANNA HAYES RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6299 NALL AVE
MISSION KS
66202-3553
US

IV. Provider business mailing address

1210 MAIN ST
EUDORA KS
66025-9409
US

V. Phone/Fax

Practice location:
  • Phone: 913-384-0044
  • Fax:
Mailing address:
  • Phone: 808-726-0409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number13551
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: