MIA LOUISE FENNER (NPI# 1053867630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053867630 |
| Entity Type | Individual |
| Full Name | MIA LOUISE FENNER |
| Credential | RDH |
| Practice Address |
5005 N Piedras St Us Army Dental Activity El Paso TX 79920-5001 |
| Practice Telephone | 9157420172 |
| Mailing Telephone | 9157420172 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 18552 | TX | Dental Providers |
| Street Address |
5005 N PIEDRAS ST US ARMY DENTAL ACTIVITY |
| City | EL PASO |
| State | TX |
| Zip Code | 79920-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588663868 | Troy M Denunzio Sr. | Internal Medicine | 5005 N Piedras St, Attn: Credentials Office, El Paso, TX 79920-5001 | 2005-07-19 |
| 1255932331 | Kenneth A Paull | Social Worker | 5005 N Piedras St, El Paso, TX 79930-5097 | 2020-11-04 |
| 1326649757 | Ashley Monique Graham | Social Worker | 5005 N Piedras St, El Paso, TX 79920 | 2020-11-03 |
| 1710597695 | Alyssa Engel | Student in an Organized Health Care Education/Training Program | 5005 N Piedras St, El Paso, TX 79920 | 2020-08-05 |
| 1497372312 | Luke Sly | Student in an Organized Health Care Education/Training Program | 5005 N Piedras St, El Paso, TX 79920-5001 | 2020-06-26 |
| 1922620731 | Genevieve Weldon | Dietitian, Registered | 5005 N Piedras St, El Paso, TX 79920 | 2020-05-14 |
| 1518503499 | Raul Aldair Marquez | Dietitian, Registered | 5005 N Piedras St, El Paso, TX 79920 | 2019-11-26 |
| 1972146934 | Jaclyn Franz | Student in an Organized Health Care Education/Training Program | 5005 N Piedras St, El Paso, TX 79930-5097 | 2019-10-22 |
| 1720632284 | Kara Young | Midwife | 5005 N Piedras St, El Paso, TX 79920 | 2019-08-01 |
| 1992367270 | Katharine Long | Dietitian, Registered | 5005 N Piedras St, El Paso, TX 79920 | 2019-07-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518512607 | Haley Yaw | Student in an Organized Health Care Education/Training Program | 5005 North Piedras Ave, El Paso, TX 79920 | 2019-08-06 |
| 1225521636 | Kelsea Killin | Student in an Organized Health Care Education/Training Program | Wbamc/dom/gme, 5005 N Piedras Street, El Paso, TX 79920 | 2018-06-11 |
| 1891216594 | Timothy C Gilligan | Student in an Organized Health Care Education/Training Program | Attn: Mchm-dos-gsr, Wbamc, 5005 N. Piedras St, El Paso, TX 79920 | 2017-07-03 |
| 1285180893 | Adelina Ibanez | Dental Assistant | 5005 N. Piedras St. 2nd Floor Rm 2112, William Beaumont Army Medical Center, El Paso, TX 79920 | 2016-09-01 |
| 1740657907 | Sondra Reynolds | Social Worker | 505 N Piedras St, El Paso, TX 79920 | 2015-08-24 |
| 1407279557 | Therese Hadden | Social Worker | 2489 Ricker Road, El Paso, TX 79920 | 2014-01-27 |
| 1265710032 | Courtney Rose Usry | Internal Medicine | 5005 N Piedras St., El Paso, TX 79920 | 2011-07-28 |
| 1760789010 | Debra Dianca Ingle-munoz | Social Worker | Wbamc, 5005 N. Piedras, El Paso, TX 79920 | 2011-02-23 |
| 1467688325 | Silvia Ursula Green | Radiology | 5005 N. Piedras Strees, El Paso, TX 79920 | 2009-06-05 |
| 1184803058 | Nora Dougan Hussey | Family Medicine | 5505 North Piedras St, William Beaumont Army Medical Center, El Paso, TX 79920 | 2007-10-29 |
| Find all providers in zip 79920 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568081792 | Miguel A Martinez | Dental Hygienist | 3308 Greenock St, El Paso, TX 79925-4100 | 2020-04-08 |
| 1831722057 | Dawn Anna Sackett | Dental Hygienist | 1640 N Zaragoza Rd # 2-213, El Paso, TX 79936-8004 | 2020-02-17 |
| 1003448903 | Erin Rachel Ginithan | Dental Hygienist | 1816 N Zaragoza Rd Ste B, El Paso, TX 79936-8019 | 2020-02-08 |
| 1801358924 | Slgi Choi | Dental Hygienist | 12409 Tierra Cipres Dr, El Paso, TX 79938-4529 | 2019-04-05 |
| 1811286479 | Victoria Xochilth Woelper | Dental Hygienist | 10124 Chezelle Dr, El Paso, TX 19925-5412 | 2011-04-05 |
| 1255577185 | April Elizabeth Aviles | Dental Hygienist | 608 S. St. Vrain, Centro De Salud Familiar La Fe, Inc., El Paso, TX 79901-2176 | 2008-12-24 |
| 1649473216 | Luz Maria Costabella | Dental Hygienist | 608 S Saint Vrain St, El Paso, TX 79901-3007 | 2007-06-08 |
| 1417164393 | Rachel Lyann Stone | Dental Hygienist | 6262 Escondido Dr, El Paso, TX 79912-1903 | 2007-05-17 |
| 1194350975 | Korynn L Bolden | Dental Hygienist | 11324 Wagon Pl, El Paso, TX 79934-3373 | 2020-03-11 |
| 1619441045 | Victor Alan Neff | Dental Hygienist | 5005 N. Piedras St., El Paso, TX 79920 | 2019-01-18 |
| Find all providers in EL PASO | ||||
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| 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.