# ERIC ELLINGSEN DDS, PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689847683
- **Authorized official:** DR. ERIC C ELLINGSEN DDS (OWNER)
- **Authorized official phone:** (509) 924-2866

## Contact information

- **Practice address:** 1215 N MCDONALD RD STE 203, SPOKANE VALLEY, WA 99216-1557
- **Practice address phone:** (509) 924-2866
- **Practice address fax:** (509) 924-8311
- **Mailing address:** 1215 N MCDONALD RD STE 203, SPOKANE VALLEY, WA 99216-1557
- **Mailing address phone:** (509) 924-2866
- **Mailing address fax:** (509) 924-8311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DE79703 | WA | Yes |

## Other

- **Enumeration date:** 04/10/2008
- **Last updated:** 06/19/2008