Organization · Type 2 NPI

Ellingsen Henneberg PLLC

Dental Clinic/Center · Spokane, WA

NPI number 1215535695 Active

Practice location

2607 S Southeast Blvd Ste B210
Spokane, WA 99223-7614

Call (509) 924-2866 Map

Mailing address

1215 N Mcdonald Rd Ste 203
Spokane Valley, WA 99216-1557

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

Another provider at this address

Operation Healthy FamilyDental Clinic/Center Spokane, WA NPI 1881279685

Other dental clinic/center providers in Spokane

See all in Spokane →

NPI record

NPI: 1215535695
Entity type: Organization (Type 2)
Issued: Oct 16, 2020
Last updated: Oct 21, 2020
Status: Active
Subpart: Yes of Ellingsen Henneberg PLLC

Other names

<unavail>
Smile Source Spokane · doing business as
Smile Source Spokane · doing business as

Authorized official

Eric C Ellingsen, DDS
Owner
(509) 924-2866

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About NPI 1215535695

Ellingsen Henneberg PLLC's National Provider Identifier is 1215535695, issued on Oct 16, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Spokane, WA. The record was last updated on Oct 21, 2020.