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FAIRCHILD DENTAL CLINIC
NPI 1124484225
Dental Hygienist in Yreka, CA

Active since January 06, 2016
475 BRUCE ST, YREKA, CA 96097(530) 842-3507(530) 841-6242 Get Directions Write a Review

NPPES record last updated: January 6, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fairchild Dental Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRCHILD DENTAL CLINIC (NPI 1124484225) is a healthcare organization registered as a dental hygienist in Yreka, California and active in the NPI registry since January 2016. The organization lists Jonathon C Andrus, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124484225
Entity TypeOrganization
Primary Taxonomy124Q00000X
Legal Business NameSISKIYOU HOSPITAL INC
Location Address475 BRUCE STYreka, CA 96097-3474
Mailing Address444 Bruce StYreka, CA 96097-3450 · (530) 842-4121 · Fax (530) 841-6242
Phone(530) 842-3507
Fax(530) 841-6242
Organization SubpartYesParent: Siskiyou Hospital Inc, Dba Fairchild Dental Clinic
Authorized OfficialJonathon C AndrusCeo · (530) 842-4121
Enumeration DateJanuary 6, 2016
✔ NPI 1124484225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in CA · 29114
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
475 BRUCE ST, Yreka, CA 96097
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Other Names 1

Doing Business AsFairchild Dental Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEAN L. WEATHERS R.N. , C.M.W.
Nurse Practitioner (Obstetrics & Gynecology)
475 BRUCE ST
YREKA, CA 96097
Siskiyou County (530) 842-4337
RICHARD SLARVE M.D.
Family Medicine
475 BRUCE ST
YREKA, CA 96097
Siskiyou County (530) 842-3507
JON EDWIN MUNDALL MD
Family Medicine
475 BRUCE ST, SUITE 700
YREKA, CA 96097
Siskiyou County (530) 842-4445
MS. CHARDILAINE WHITLOCK FNP-C
Nurse Practitioner (Family)
475 BRUCE ST
YREKA, CA 96097
Siskiyou County (530) 842-4121
MRS. CHARITY ANN BRADLEY FNP
Nurse Practitioner (Family)
475 BRUCE ST
YREKA, CA 96097
Siskiyou County (530) 841-4980
PETER A. BEORIS MD
Emergency Medicine
475 BRUCE ST
YREKA, CA 96097
Siskiyou County (530) 842-3507
JUSTIN HADALLER
Physician Assistant
475 BRUCE ST
YREKA, CA 96097
Siskiyou County (530) 842-4121
LINDA SUE DAVIS
Nurse Practitioner (Family)
475 BRUCE ST
YREKA, CA 96097
Siskiyou County (530) 842-3507

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Siskiyou Hospital Inc's NPI number?

The NPI number for Siskiyou Hospital Inc is 1124484225. It was assigned to this organization in the NPPES registry on January 6, 2016. The provider is doing business as Fairchild Dental Clinic.

Where is Siskiyou Hospital Inc located?

Siskiyou Hospital Inc is located at 475 Bruce St, Yreka, CA 96097. The listed phone number is (530) 842-3507.

What is Siskiyou Hospital Inc's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Siskiyou Hospital Inc was last updated on January 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.