ELLIS DENTISTRY
NPI 1326051285
Dentist - General Practice in Everson, WA

Active since August 14, 2006
3739 MT BAKER HWY, EVERSON, WA 98247(360) 592-1100(360) 592-5067 Get Directions Write a Review

NPPES record last updated: May 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellis Dentistry NPPES

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

ELLIS DENTISTRY (NPI 1326051285) is a healthcare organization registered as a general practice in Everson, Washington and active in the NPI registry since August 2006. The organization lists Randal W Ellis, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1326051285
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRANDAL W ELLIS DMD PLLC
Location Address3739 MT BAKER HWYEverson, WA 98247-9406
Mailing AddressPo Box 608Deming, WA 98244 · (360) 592-1100 · Fax (360) 592-5067
Fax(360) 592-5067
Organization SubpartNo
Authorized OfficialRandal W EllisDentist/owner · (360) 592-1100
Enumeration DateAugust 14, 2006
Last NPPES UpdateMay 3, 2012
NPI 1326051285 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 · DE00008470
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.
3739 MT BAKER HWY, Everson, WA 98247

Other Names 1

Doing Business AsEllis Dentistry

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

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
3739 MT BAKER HWY
EVERSON, WA 98247
Dentist (General Practice)
3739 MT BAKER HWY
EVERSON, WA 98247
Dentist
3739 MT BAKER HWY
EVERSON, WA 98247

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 Randal W Ellis Dmd PLLC's NPI number?

The NPI number for Randal W Ellis Dmd PLLC is 1326051285. It was assigned to this organization in the NPPES registry on August 14, 2006. The provider is doing business as Ellis Dentistry.

Where is Randal W Ellis Dmd PLLC located?

Randal W Ellis Dmd PLLC is located at 3739 Mt Baker Hwy, Everson, WA 98247. The listed phone number is (360) 592-1100.

What is Randal W Ellis Dmd 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 Randal W Ellis Dmd PLLC was last updated on May 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.