Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285188128 Individual Practitioner Female Practitioner

Dr. Elizabeth Icenogle , DMD

Dentist - General Practice • Spokane, WA

Professional Overview & Biography Verified Profile Summary

Dr. Elizabeth Icenogle, DMD is a registered healthcare professional specializing in Dentist - General Practice in Spokane, WA. Practice services are available at 3415 W HORIZON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3415 W Horizon Ave

Spokane, WA 992088493

Telephone 5099545625

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
145 Specialists

Practicing in Spokane, WA (3345 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE 60667608

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 09, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2016

Registered at 3415 W HORIZON AVE, SPOKANE, WA 992088493 (Tel: 5099545625)

📍
Updated Business Mailing Address August 09, 2016

Registered at 3415 W HORIZON AVE, SPOKANE, WA 992088493 (Tel: 5099545625)

👤
Provider Name / Credentials Updated August 09, 2016

Recorded as ELIZABETH ICENOGLE, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2016

Dentist (License #DE 60667608 in WA)

🟢
Initial NPI Registration & Enumeration August 09, 2016

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: 1285188128
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2016
Last Update: August 09, 2016
Sole Proprietor: No

Mailing Address

3415 W Horizon Ave

Spokane, WA 992088493

Phone: 5099545625

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.