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SMILE SOURCE SPOKANE
NPI 1215535695
Clinic/Center - Dental in Spokane, WA

Active since October 16, 2020
2607 S SOUTHEAST BLVD STE B210, SPOKANE, WA 99223(509) 924-2866 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 21, 2020, Oct 16, 2020 (2 updates tracked since 2020).

About Smile Source Spokane NPPES

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

SMILE SOURCE SPOKANE (NPI 1215535695) is a healthcare organization registered as a dental in Spokane, Washington and active in the NPI registry since October 2020. The organization lists Eric C Ellingsen, Owner, as its authorized official.

NPPES Registry Identity

NPI1215535695
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameELLINGSEN HENNEBERG PLLC
Location Address2607 S SOUTHEAST BLVD STE B210Spokane, WA 99223-7614
Mailing Address1215 N Mcdonald Rd Ste 203Spokane Valley, WA 99216-1557 · (509) 924-2866 · Fax (509) 924-8311
Phone(509) 924-2866
Organization SubpartYes
Authorized OfficialEric C EllingsenOwner · (509) 924-2866
Enumeration DateOctober 16, 2020
Last NPPES UpdateOctober 21, 20202 updates tracked since enumeration
NPPES CertifiedOctober 21, 2020
✔ NPI 1215535695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2607 S SOUTHEAST BLVD STE B210, Spokane, WA 99223
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Other Names 1

Doing Business AsSmile Source Spokane

Other Providers at the Same Location NPPES

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

OPERATION HEALTHY FAMILY
Clinic/Center (Dental)
2607 S SOUTHEAST BLVD STE B210
SPOKANE, WA 99223
Spokane County (509) 443-4409

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 Ellingsen Henneberg PLLC's NPI number?

The NPI number for Ellingsen Henneberg PLLC is 1215535695. It was assigned to this organization in the NPPES registry on October 16, 2020. The provider is doing business as Smile Source Spokane.

Where is Ellingsen Henneberg PLLC located?

Ellingsen Henneberg PLLC is located at 2607 S Southeast Blvd Ste B210, Spokane, WA 99223. The listed phone number is (509) 924-2866.

What is Ellingsen Henneberg PLLC'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 Ellingsen Henneberg PLLC was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.