NPI 1043635543

Craig C Ellsworth DDS INC

Organisation Preferred Provider Organization Spokane Valley, WA

Practice location

Address: 12209 E. Mission Ave Suite 1, Spokane Valley, WA 99206
Phone: (509) 924-1580
Fax: (509) 342-7890

Authorised official

Name: Craig Cooper Ellsworth
Title: President
Phone: (509) 924-1580

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence DE60390327 (WA)

Other Preferred Provider Organization providers in Washington →

Registry record

NPI: 1043635543
Entity type: Organization
NPI issued: 20 Feb 2014
Record last updated: 3 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.