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CREEKSIDE DENTAL ELLENSBURG PLLC
NPI 1275862468
Dentist - General Practice in Ellensburg, WA

Active since December 17, 2009
2601 TRIPLE L LOOP, ELLENSBURG, WA 98926(509) 933-4800 Get Directions Write a Review

NPPES record last updated: December 17, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Creekside Dental Ellensburg Pllc NPPES

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

CREEKSIDE DENTAL ELLENSBURG PLLC (NPI 1275862468) is a healthcare organization registered as a general practice in Ellensburg, Washington and active in the NPI registry since December 2009. The organization lists Leslee R Thysell, Temp Ofc Mgr, as its authorized official.

NPPES Registry Identity

NPI1275862468
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCREEKSIDE DENTAL ELLENSBURG PLLC
Location Address2601 TRIPLE L LOOPEllensburg, WA 98926
Mailing Address2601 Triple L LoopEllensburg, WA 98926 · (509) 933-4800
Phone(509) 933-4800
Organization SubpartNo
Authorized OfficialLeslee R ThysellTemp Ofc Mgr · (509) 577-8279
Enumeration DateDecember 17, 2009
✔ NPI 1275862468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WA · 7703
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2601 TRIPLE L LOOP, Ellensburg, WA 98926
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Other Identifiers 1

MedicaidNONE YETWA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Creekside Dental Ellensburg PLLC's NPI number?

The NPI number for Creekside Dental Ellensburg PLLC is 1275862468. It was assigned to this organization in the NPPES registry on December 17, 2009.

Where is Creekside Dental Ellensburg PLLC located?

Creekside Dental Ellensburg PLLC is located at 2601 Triple L Loop, Ellensburg, WA 98926. The listed phone number is (509) 933-4800.

What is Creekside Dental Ellensburg PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Creekside Dental Ellensburg PLLC was last updated on December 17, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.