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

Randal James Henneberg, DDS

Individual provider Dentist · NPI 1083846927

Randal James Henneberg, DDS is a Dentist in Spokane Valley, Washington. Licensed in Idaho and Washington. Registered with an NPI since 2009.

Licensed in
ID, WA
In the registry since
2009
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

12701 E Sprague Ave
Spokane Valley, WA 99216-0727
Phone: (509) 924-0055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DE60102400 (WA)
Dentist Taxonomy 122300000X · Licence D-4246 (ID)

Record details

NPI number1083846927
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 11, 2009
Last updated in NPPESAugust 17, 2021
Certification dateAugust 17, 2021

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