Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124593405 Individual Practitioner Female Practitioner

Dr. Ellery Grace Young , DDS

Dentist • Spokane Valley, WA

Professional Overview & Biography Verified Profile Summary

Dr. Ellery Young, DDS is a registered healthcare professional specializing in Dentist in Spokane Valley, WA. Practice services are available at 1502 N VERCLER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1502 N Vercler Rd

Spokane Valley, WA 99216

Telephone 5094448200
Fax 5094447806
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Spokane Valley, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
38 Specialists

Practicing in Spokane Valley, WA (2853 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE60877908

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State
1275052359 (WA)

Secondary Practice Locations

2004 Se 192nd Ave Ste 101

Vancouver, WA 986839505

Phone: 3607685609

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Tyler Pedersen , MD

Emergency Medicine

NPI 1003034828

Doctor of Medicine (M.D.)

Lila Erickson , MSPAS, PA-C

Physician Assistant

NPI 1003134867

MSPAS, Physician Assistant (Certified)

Jeffrey Hayward , PA-C

Physician Assistant

NPI 1003218389

Physician Assistant (Certified)

NPI 1003290941

Doctor of Pharmacy (Pharm.D.)

Anna Denton , FNP-BC

Nurse Practitioner - Family

NPI 1003331539

Family Nurse Practitioner (Board Certified)

Amy Hagins

Social Worker

NPI 1003381492

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 30, 2019

Registered at 1502 N VERCLER RD, SPOKANE VALLEY, WA 99216 (Tel: 5094448200)

📍
Updated Business Mailing Address January 30, 2019

Registered at 203 N WASHINGTON ST STE 300, SPOKANE, WA 992010254 (Tel: 5094448888)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2019

Dentist (License #DE60877908 in WA)

NPI Profile Active October 12, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2018

Registered at 2004 SE 192ND AVE STE 101, VANCOUVER, WA 986839505 (Tel: 3607685609)

📍
Updated Business Mailing Address October 12, 2018

Registered at 2004 SE 192ND AVE STE 101, VANCOUVER, WA 986839505 (Tel: 3607685609)

👤
Provider Name / Credentials Updated October 12, 2018

Recorded as ELLERY YOUNG, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2018

Dentist (License #DE60877908 in WA)

🟢
Initial NPI Registration & Enumeration October 12, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124593405
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2018
Last Update: January 30, 2019
Sole Proprietor: No

Mailing Address

203 N Washington St Ste 300

Spokane, WA 992010254

Phone: 5094448888

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.