Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDAL W ELLIS, DMD P.L.L.C
Active Sole ProprietorRANDAL W ELLIS, DMD P.L.L.C is a General Dentistry healthcare provider located in EVERSON, Washington. NPI 1154689636 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · EVERSON, WA
Registration Details
- NPI Number
- 1154689636
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2012 (14.099269857834 yrs)
- Last Updated
- May 3, 2012
- License
-
00008470 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3739 MT BAKER HWYEVERSON, WA, 982479406Browse WA providers · Browse ZIP 98247
- Phone
- 3605921100
- Fax
- 3605925067
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in EVERSON, WA
| Name | Credential | NPI |
|---|---|---|
| DR. DANIEL T BARRETT | DDS | 1750498069 |
| DR. DOUGLAS L ROSS | DMD10 | 1164527297 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.