Organization
RONALD H. ELLINGSEN, PLLC
Active
Parent organization
RONALD H. ELLINGSEN, PLLC
Other names
Bruner Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
RONALD H. ELLINGSEN, PLLC
Authorized official
CHARLOTTE DASCH (DIRECTOR OF CRED AND PROV REL)
(504) 638-0303
Entity
Organization
Contact information
Practice address
15881 NE 85TH ST UNIT 160, REDMOND, WA 98052-3889
(425) 883-3353
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(615) 678-0758
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
04/02/2026
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