BRENDA FUELL


Address: 12959 South Picket Fence Lane, Riverton, UT 84065
Phone: (801) 712-1154

BRENDA FUELL (NPI# 1023537156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023537156
Entity Type Individual
Full Name BRENDA FUELL
Credential RDH
Practice Address 12959 South Picket Fence Lane
Riverton
UT 84065
Mailing Address 12959 S Picket Fence Ln
Riverton
UT 84065-6933
Practice Telephone (801) 712-1154
Mailing Telephone 8017121154
Enumeration Date 2017-09-09
Last Update Date 2017-09-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 5328674-9920 UT Dental Providers

Office Location

Street Address 12959 SOUTH PICKET FENCE LANE
City RIVERTON
State UT
Zip Code 84065

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NPI Name Taxonomy Address Enumeration
1659972248 William Lance Andersen Pharmacist 1202 W 12600 W, Riverton, UT 84065 2020-11-02
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Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy 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.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316553738 Gina Tippets Dental Hygienist 5990 Fashion Point Dr Ste 2, South Ogden, UT 84403-5179 2020-09-21
1619583671 Karolee Goins Dental Hygienist 597 W 5300 S, Murray, UT 84123-5647 2020-09-16
1922663210 Shelley D Brown Dental Hygienist 180 E 300 N, Orem, UT 84057-4712 2019-05-02
1669989307 Victoria Rose Bills Dental Hygienist 3891 Stadium Way Dept 3920, Ogden, UT 84408-8369 2018-01-03
1093221475 Heidi Lynn Gardiner Dental Hygienist 7116 N 5500 W, Newton, UT 84327-0234 2017-12-20
1528572682 Sandra Jo Scott Dental Hygienist 264 W Ridgeline Dr, Washington Terrace, UT 84405 2017-11-28
1720592421 Denver Bauter Dental Hygienist 980 S 500 W Ste 1, Brigham City, UT 84302-3094 2017-11-17
1336665132 Karol Angela Aldrich Dental Hygienist 450 E 3700 S, Salt Lake City, UT 84115-4634 2017-08-14
1245755719 Staci Stout Dental Hygienist 3113 W Swiss Pass Cir, South Jordan, UT 84095 2017-08-07
1447773494 Heidi L Lien Dental Hygienist 157 N Reservation Dr, Kanosh, UT 84637 2017-07-21
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Competitor

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City RIVERTON
Zip Code 84065

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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