National Provider Identifier Database

CRAIG C ELLSWORTH DDS INC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

CRAIG C ELLSWORTH DDS INC
12209 E. MISSION AVE SUITE 1
SPOKANE VALLEY, WA99206
Phone: 509-924-1580
Fax: 509-342-7890
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for CRAIG C ELLSWORTH DDS INC

NPI Number 1043635543
Legal business name
LBN
CRAIG C ELLSWORTH DDS INC
Authorized official CRAIG ELLSWORTH - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/20/2014
Last updated 02/03/2026 - About 4 months ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: DE60390327

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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