Healthcare Provider Details

I. General information

NPI: 1013825686
Provider Name (Legal Business Name): DEMETRE J MARKOPOULOS DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12525 E MISSION AVE STE 204
SPOKANE VALLEY WA
99216-1079
US

IV. Provider business mailing address

12525 E MISSION AVE STE 204
SPOKANE VALLEY WA
99216-1079
US

V. Phone/Fax

Practice location:
  • Phone: 509-922-2288
  • Fax: 509-863-9527
Mailing address:
  • Phone: 509-922-2288
  • Fax: 509-863-9527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDENT.DE.70155227
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: