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

Ellingsen Henneberg PLLC

Organization Dental Clinic/Center · NPI 1215535695

Ellingsen Henneberg PLLC is a Dental Clinic/Center in Spokane, Washington. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2607 S Southeast Blvd Ste B210
Spokane, WA 99223-7614
Phone: (509) 924-2866
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1215535695
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEllingsen Henneberg PLLC
Authorized official Eric Ellingsen — Owner · (509) 924-2866
Other names Smile Source Spokane; Smile Source Spokane
NPI enumeratedOctober 16, 2020
Last updated in NPPESOctober 21, 2020
Certification dateOctober 21, 2020
Mailing address1215 N McDonald Rd Ste 203, Spokane Valley, WA 99216-1557

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