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SMILE SOURCE SPOKANE
NPI 1083169668
Clinic/Center - Dental in Spokane Valley, WA

Active since August 24, 2016
1215 N MCDONALD RD, #203, SPOKANE VALLEY, WA 99216(509) 924-2866 Get Directions Write a Review

NPPES record last updated: August 24, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Smile Source Spokane NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SMILE SOURCE SPOKANE (NPI 1083169668) is a healthcare organization registered as a dental in Spokane Valley, Washington and active in the NPI registry since August 2016. The organization lists Eric C Ellingsen, Owner, as its authorized official.

NPPES Registry Identity

NPI1083169668
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameERIC C ELLINGSEN DDS PS
Location Address1215 N MCDONALD RD, #203Spokane Valley, WA 99216-1557
Mailing Address1215 N Mcdonald Rd, #203Spokane Valley, WA 99216-1557 · (509) 924-2866
Phone(509) 924-2866
Organization SubpartNo
Authorized OfficialEric C EllingsenOwner · (509) 924-2866
Enumeration DateAugust 24, 2016
✔ NPI 1083169668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in WA · 601992748
1215 N MCDONALD RD, Spokane Valley, WA 99216
Open in Google Maps ↗

Other Names 1

Doing Business AsSmile Source Spokane

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDRA M DICKEY PAC
Physician Assistant
1215 N MCDONALD RD, 202
SPOKANE VALLEY, WA 99216
Spokane County (509) 455-8820
HIGHLINE PHYSICAL THERAPY GROUP
Physical Therapist
1215 N MCDONALD RD
SPOKANE VALLEY, WA 99216
Spokane County (509) 730-8064
DALE A NELSON M.D.
Internal Medicine (Geriatric Medicine)
1215 N MCDONALD RD, STE 101
SPOKANE VALLEY, WA 99216
Spokane County (509) 924-1950
SANJA PROSZEK ARNP
Nurse Practitioner (Primary Care)
1215 N MCDONALD RD
SPOKANE VALLEY, WA 99216
Spokane County (509) 598-7750
KRISTINA KANESHIRO SWIGGUM MD
Internal Medicine (Geriatric Medicine)
1215 N MCDONALD RD, #101
SPOKANE VALLEY, WA 99216
Spokane County (509) 924-1950
DR. ERIC C ELLINGSEN DDS
Dentist (General Practice)
1215 N MCDONALD RD, SUITE 203
SPOKANE VALLEY, WA 99216
Spokane County (509) 924-2866
MR. ALAN J KELLY MD
Internal Medicine
1215 N MCDONALD RD, STE 101
SPOKANE VALLEY, WA 99216
Spokane County (509) 924-1950
JOHN D SESTERO M.D.
Internal Medicine (Geriatric Medicine)
1215 N MCDONALD RD, STE 101
SPOKANE VALLEY, WA 99216
Spokane County (509) 924-1950

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric C Ellingsen Dds Ps's NPI number?

The NPI number for Eric C Ellingsen Dds Ps is 1083169668. It was assigned to this organization in the NPPES registry on August 24, 2016. The provider is doing business as Smile Source Spokane.

Where is Eric C Ellingsen Dds Ps located?

Eric C Ellingsen Dds Ps is located at 1215 N Mcdonald Rd #203, Spokane Valley, WA 99216. The listed phone number is (509) 924-2866.

What is Eric C Ellingsen Dds Ps's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Eric C Ellingsen Dds Ps was last updated on August 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.