OrganizationActive
Kelly A. Hennessey D.D.S., PLLC
NPI 1710634670 · Dental Clinic/Center · Spokane, WA
Kelly A. Hennessey D.D.S., PLLC is a Dental Clinic/Center organization in Spokane, WA (NPI 1710634670).
Provider details
- NPI number
- 1710634670
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Hennessey, Dentist/Owner(509) 714-5757
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3615 S Grand Blvd
Spokane, WA 99203-2624
Phone: (509) 456-8676
Fax: (509) 465-8676
Street-level locationGet directions
Mailing address
3615 S Grand Blvd
Spokane, WA 99203-2624
Other names (DBA / former)
- Doing business as
- Manito Family Dentistry
Registry dates
- Enumerated
- 2022-03-09
- Last updated
- 2022-03-09
- Certified
- 2022-02-23
Frequently asked questions
- What is Kelly A. Hennessey D.D.S., PLLC's NPI number?
- Kelly A. Hennessey D.D.S., PLLC's National Provider Identifier (NPI) is 1710634670, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kelly A. Hennessey D.D.S., PLLC?
- Kelly A. Hennessey D.D.S., PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kelly A. Hennessey D.D.S., PLLC located?
- Kelly A. Hennessey D.D.S., PLLC's practice location on file with NPPES is 3615 S Grand Blvd, Spokane, WA 99203-2624.
- What is Kelly A. Hennessey D.D.S., PLLC's phone number?
- The practice phone number listed in the NPPES registry for Kelly A. Hennessey D.D.S., PLLC is (509) 456-8676.
- Who is the authorized official for Kelly A. Hennessey D.D.S., PLLC?
- The authorized official listed on Kelly A. Hennessey D.D.S., PLLC's NPPES record is Kelly Hennessey, Dentist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kelly A. Hennessey D.D.S., PLLC's NPI active?
- Yes — Kelly A. Hennessey D.D.S., PLLC's NPI (1710634670) is active in the NPPES registry as of the last update on 2022-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.