Organization Active NPI

Robin J. Henderson, DDS PLLC

  • Dental Clinic/Center
  • Clarkston, WA
National Provider Identifier
1669310645
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ROBIN J. HENDERSON, DDS PLLC
Practice address
535 6TH St
Clarkston, WA 99403-2008
Phone
(509) 758-6071
Fax
(509) 758-6146
NPI assigned
Mar 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly Wicks
Title
Office Manager
Phone
(509) 758-6071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

535 6TH St
Clarkston, WA 99403-2008

Mailing address

535 6TH St
Clarkston, WA 99403-2008
Phone (509) 758-6071

National Provider Directory

National Provider Directory

Locations

535 6th St
Clarkston, WA 99403
Phone (509) 758-9535

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1669310645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 6TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032008",
            "telephone_number": "509-758-6071",
            "fax_number": "509-758-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 6TH ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032008",
            "telephone_number": "509-758-6071",
            "fax_number": "509-758-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN J. HENDERSON, DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-23",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "WICKS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "509-758-6071"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.