ELLEN MARY FAWL RDH
NPI 1316620990
Dental Hygienist in Fort Jones, CA

Q: What is Ellen Fawl's NPI number?

The NPI number for Ellen Fawl is 1316620990. It was assigned to this individual provider in the NPPES registry on August 9, 2023.

Q: What is Ellen Fawl's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ellen Fawl was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 09, 2023

9024 SNIKTAW LN, FORT JONES, CA 96032(530) 468-4470(530) 468-5908 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ellen Mary Fawl Rdh NPPES

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

ELLEN MARY FAWL RDH (NPI 1316620990) is an individual dental hygienist in Fort Jones, California, licensed in California (RDH16873) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1316620990

Entity TypeIndividualFemale

Primary Taxonomy124Q00000X

Provider Legal NameELLEN MARY FAWLCredential: RDH

Location Address9024 SNIKTAW LNFort Jones, CA 96032-9408

Mailing Address9024 Sniktaw LnFort Jones, CA 96032-9408 · (530) 468-4470 · Fax (530) 468-5908

Phone(530) 468-4470

Fax(530) 468-5908

Sole ProprietorNo

Enumeration DateAugust 9, 2023

NPPES CertifiedAugust 9, 2023

✔ NPI 1316620990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers

Taxonomy Code124Q00000X

License✔ Licensed in CA · RDH16873

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.

9024 SNIKTAW LN, Fort Jones, CA 96032

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Other Providers at the Same Location NPPES 12

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

DR. MARK GRANT MEDINNUS DDS

Dentist (General Practice)