Smile Source Spokane

LBN: Eric C Ellingsen Dds Ps
Smile Source Spokane is an health care organization with primary practice located at 1215 N Mcdonald Rd #203, Spokane Valley WA 99216-1557. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Eric C Ellingsen Dds Ps can be contacted via phone (509) 924-2866, or through Ellingsen, Eric C via phone (509) 924-2866.

Contact Information

Primary practice address
1215 N Mcdonald Rd #203 Spokane Valley WA 99216-1557
Phone: (509) 924-2866
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellingsen, Eric C
Phone: (509) 924-2866

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 601992748 Washington

Profile Details

NPI number 1083169668
LBN Legal business name Eric C Ellingsen Dds Ps
DBA Doing business as Smile Source Spokane
Authorized official Ellingsen, Eric C
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2016
Last updated Aug 24th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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