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

Randal W Ellis, DMDPLLC

Individual provider General Practice Dentistry · NPI 1154689636

Randal W Ellis, DMDPLLC is a General Practice Dentistry in Everson, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2012

Practice location Address checks out

3739 Mt Baker Hwy
Everson, WA 98247-9406
Phone: (360) 592-1100
Fax: (360) 592-5067
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 00008470 (WA)

Record details

NPI number1154689636
Entity typeIndividual (Type 1)
GenderMale
Credentials DMDPLLC
Sole proprietorYes
NPI enumeratedMay 2, 2012
Last updated in NPPESMay 3, 2012

Other providers in Everson