Randal W. Ellis, DMD P.L.L.C
General Dentistry · Everson, WA
UnclaimedDMD P.L.L.CNPI 1154689636
- Primary taxonomy
- 1223G0001X
- Enumerated
- 2012-05-02
- Practice location
- Everson, WA
- Last NPPES update
- 2012-05-03
State licenses
- WA · Dentist · NPPES self-reportedListed on NPI record
- WA · Dentist · Dentist LicenseActivethrough 2026
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.