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

Spokane Digital Diagnostic

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1508083627

Spokane Digital Diagnostic is an Oral and Maxillofacial Surgery Clinic/Center in Spokane Valley, Washington. Licensed in Washington. Registered with an NPI since 2007.

Licensed in
WA
In the registry since
2007

Practice location Address checks out

12109 E Broadway Ave Bldg C
Spokane Valley, WA 99206-6133
Phone: (509) 926-7106
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X (WA)

Record details

NPI number1508083627
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marla Telin — Chief Operating Officer · (509) 926-7106
NPI enumeratedApril 19, 2007
Last updated in NPPESAugust 22, 2020
Mailing address12109 E Broadway Ave, Building C, Spokane Valley, WA 99206-6133

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