Individual provider · Type 1 NPI

Richard C. Ellingsen

Orthodontics and Dentofacial Orthopedics Dentistry · Spokane Valley, WA

NPI number 1790013332 Active

Practice location

12109 E Broadway Ave Ste B
Spokane Valley, WA 99206-6133

Call (509) 926-0570 Map

Fax (509) 921-9163

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDE00006352 (WA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1790013332

Richard C. Ellingsen's National Provider Identifier is 1790013332, issued on Nov 19, 2009. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Spokane Valley, WA. The record was last updated on Nov 19, 2009.