Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Craig C Ellsworth DDS Inc

Organization Preferred Provider Organization · NPI 1043635543

Craig C Ellsworth DDS Inc is a Preferred Provider Organization in Spokane Valley, Washington. Licensed in Washington. Registered with an NPI since 2014.

Licensed in
WA
In the registry since
2014
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12209 E Mission Ave Ste 1
Spokane Valley, WA 99206
Phone: (509) 924-1580
Fax: (509) 342-7890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence DE60390327 (WA)

Record details

NPI number1043635543
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Craig Ellsworth — President · (509) 924-1580
NPI enumeratedFebruary 20, 2014
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026
Mailing address12209 E. Mission Ave Suite 1, Spokane Valley, WA 99206

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