IndividualActive
Douglas Rundle, D.M.D., M.P.H., M.S.
NPI 1609212687 · Periodontics · Spokane, WA
Provider details
- NPI number
- 1609212687
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.M.D., M.P.H., M.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DE00006707 (WA)
Specialties & taxonomies
Dental Providers
Practice location
10121 N Nevada St
Suite 102
Spokane, WA 99218-3120
Phone: (509) 467-7181
Fax: (509) 464-0953
Approximate (ZIP-level) locationGet directions
Mailing address
10121 N Nevada St
Spokane, WA 99218-3120
Registry dates
- Enumerated
- 2013-05-16
- Last updated
- 2013-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.