Faith Fann, RDH
Individual provider Active NPI Dental Hygienist · Christopher, IL
NPI 1003233909 · NPPES record last updated Mar 28, 2014
Key facts
- NPI
- 1003233909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 020014613 (IL)
- Practice address
- 4241 Highway 14 West
Christopher, IL 62822 - Phone
- (618) 724-2401
- NPI assigned
- Mar 28, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020014613 | IL | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 020014613 | IL | Yes |
Addresses
Primary practice location
4241 Highway 14 West
Christopher, IL 62822
Mailing address
PO Box 155
Christopher, IL 62822-0155
Phone (618) 724-2401
Other providers in Christopher, IL
- Mickie Lynne Dollins
- Michele Leigh Dorris
- Jaela Doss
- Kathy Ann Esposito
- Janice Falknor
- Megan Farmer
- Liam Brendan Farrell
- Ruth A Feeley
- Brandi Finger
- Franklin Hospital District
All providers in Christopher, IL · Dental Hygienist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.