Individual provider · Type 1 NPI

Ellen Xie

Dental Hygienist · San Diego, CA

NPI number 1104715895 Active

Practice location

6872 Saranac Street
San Diego, CA 92115

Call (619) 718-2615 Map

Mailing address

6848 Saranac St
San Diego, CA 92115-1733

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X31477 (CA)

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…

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About NPI 1104715895

Ellen Xie's National Provider Identifier is 1104715895, issued on Jun 30, 2025. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in San Diego, CA. The record was last updated on Jun 30, 2025.