Provider Demographics
NPI:1205554722
Name:JAPS, BRIANA LYN (RDH, MPH)
Entity type:Individual
Prefix:MS
First Name:BRIANA
Middle Name:LYN
Last Name:JAPS
Suffix:
Gender:F
Credentials:RDH, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 HAYES ST APT 1
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06053-4843
Mailing Address - Country:US
Mailing Address - Phone:203-721-4594
Mailing Address - Fax:
Practice Address - Street 1:165 MIDDLE TPKE W
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-4024
Practice Address - Country:US
Practice Address - Phone:860-644-1095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT009033124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist