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Randal W Ellis, DMDPLLC
General Practice Dentistry in Everson, Washington
NPI 1154689636

Randal W Ellis is a General Practice Dentistry based in Deming, WA and is specialized in General Practice. Randal W Ellis practices in Everson, WA and has the professional credentials of DMDPLLC. The NPI Number for Randal W Ellis is 1154689636 and holds a License No. 00008470 (Washington).

The current practice location address for Randal W Ellis is 3739 Mt Baker Hwy, Everson, WA and can be reached out via phone at 360-592-1100 and via fax at 360-592-5067.

Location: 3739 Mt Baker Hwy, Everson, WA, 98244-0608
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154689636
Provider Name
Randal W Ellis
Credential
DMDPLLC
Provider Entity Type
Individual
Gender
Male
Address
3739 Mt Baker Hwy, Everson, WA, 98244-0608
Phone Number
360-592-1100
Fax Number
360-592-5067
Provider Enumeration Date
05/02/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3739 Mt Baker Hwy
City
Everson
State
Washington
Zip
98247-9406
Phone Number
360-592-1100
Fax Number
360-592-5067
person
Provider Business Mailing Address Details
Address
3739 Mt Baker Hwy
City
Everson
State
Washington
Zip
98247-9406
Phone Number
360-592-1100
Fax Number
360-592-5067
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
00008470 (Washington)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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