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NPI Code Detail

MEDICARE: NORTH SPOKANE DENTAL

MEDICARE: NORTH SPOKANE DENTAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1154289940
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH SPOKANE DENTAL
Provider Business Mailing Address
First Line : 12404 N DIVISION ST
Second Line :
City : SPOKANE
State : WA
Zip : 99218-1930
Country : US
Telephone Number : 509-465-5000
Fax Number :
Provider Business Practice Location Address
First Line : 12404 N DIVISION ST
Second Line :
City : SPOKANE
State : WA
Zip : 99218-1930
Country : US
Telephone Number : 509-465-5000
Fax Number :
Authorized Official
Title or Position : DENTIST
Name : DR. TODD SAMUEL WELLER
Credential : DMD
Telephone Number : 509-465-5000
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “NORTH SPOKANE DENTAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.