| Sovereign Dmd Pllc | |
|
15701 E Sprague Ave Ste F Spokane Valley WA 99037-5019 | |
| (480) 341-0791 | |
| Not Available |
| Full Name | Sovereign Dmd Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15701 E Sprague Ave Ste F, Spokane Valley, Washington |
| Authorized Official Name and Position | Derick J Sovereign (GENERAL DENTIST) |
| Authorized Official Contact | 4803410791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sovereign Dmd Pllc 5401 E Windridge Ave Wasilla AK 99654-6784 Ph: (480) 341-0791 | Sovereign Dmd Pllc 15701 E Sprague Ave Ste F Spokane Valley WA 99037-5019 Ph: (480) 341-0791 |
| NPI Number | 1144155805 |
|---|---|
| Provider Enumeration Date | 06/15/2026 |
| Last Update Date | 06/15/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144155805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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