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KELLY A. HENNESSEY D.D.S., PLLC
NPI 1710634670
Clinic/Center - Dental in Spokane, WA

Active since March 09, 2022
3615 S GRAND BLVD, SPOKANE, WA 99203(509) 456-8676(509) 465-8676 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly A. Hennessey D.d.s., Pllc NPPES

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

KELLY A. HENNESSEY D.D.S., PLLC (NPI 1710634670), doing business as Manito Family Dentistry, is a healthcare organization registered as a dental in Spokane, Washington and active in the NPI registry since March 2022. The organization lists Kelly A Hennessey, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1710634670
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKELLY A. HENNESSEY D.D.S., PLLC
Location Address3615 S GRAND BLVDSpokane, WA 99203-2624
Mailing Address3615 S Grand BlvdSpokane, WA 99203-2624 · (509) 456-8676 · Fax (509) 465-8676
Phone(509) 456-8676
Fax(509) 465-8676
Organization SubpartNo
Authorized OfficialKelly A HennesseyDentist/owner · (509) 714-5757
Enumeration DateMarch 9, 2022
NPPES CertifiedFebruary 23, 2022
✔ NPI 1710634670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
3615 S GRAND BLVD, Spokane, WA 99203
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Other Names 1

Doing Business AsManito Family Dentistry

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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.

ELLEIGH JAE BATES DDS
Dentist
3615 S GRAND BLVD
SPOKANE, WA 99203
Spokane County (509) 456-8676
MANITO FAMILY DENTISTRY
Clinic/Center (Dental)
3615 S GRAND BLVD
SPOKANE, WA 99203
Spokane County (509) 456-8676
KELLY HENNESSEY SOMERS DDS
Dentist (General Practice)
3615 S GRAND BLVD
SPOKANE, WA 99203
Spokane County (509) 456-8676

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 Kelly A. Hennessey D.D.S., PLLC's NPI number?

The NPI number for Kelly A. Hennessey D.D.S., PLLC is 1710634670. It was assigned to this organization in the NPPES registry on March 9, 2022. The provider is doing business as Manito Family Dentistry.

Where is Kelly A. Hennessey D.D.S., PLLC located?

Kelly A. Hennessey D.D.S., PLLC is located at 3615 S Grand Blvd, Spokane, WA 99203. The listed phone number is (509) 456-8676.

What is Kelly A. Hennessey D.D.S., PLLC's specialty?

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

What insurance does Kelly A. Hennessey D.D.S., PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kelly A. Hennessey D.D.S., PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly A. Hennessey D.D.S., PLLC was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.