Active NPI
Robin J. Henderson, DDS PLLC
- Dental Clinic/Center
- Clarkston, WA
National Provider Identifier
1669310645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Clarkston, WA
- NPI 1962407866
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.