MARK STIVERS, DDS, INC., P.S.


Address: 12728 19th Ave Se Ste 101, Everett, WA 98208-6526
Phone: 4252244661

MARK STIVERS, DDS, INC., P.S. (NPI# 1104396969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104396969
Entity Type Organization
Organization Name MARK STIVERS, DDS, INC., P.S.
Practice Address 12728 19th Ave Se Ste 101
Everett
WA 98208-6526
Practice Telephone 4252244661
Practice Fax Number 4252244689
Mailing Telephone 4252244661
Mailing Fax Number 4252244689
Enumeration Date 2018-12-04
Last Update Date 2018-12-04
Authorized Official Name MARK W STIVERS (OWNER)
Authorized Official Telephone 4252395600
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers

Other Provider/Organization Names

Other Name Type Code
Silver Creek Oral Surgery and Puget Sound Oral Surgery Doing Business As Name - Organization

Office Location

Street Address 12728 19TH AVE SE STE 101
City EVERETT
State WA
Zip Code 98208-6526

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790270296 Kenneth Britt Dyer Registered Nurse 10333 19th Ave, Se, Ste #109, Everett, WA 98208 2018-06-27
1518482215 Glacier Peak Healthcare, Inc. Home Health 10530 19th Ave Se Ste 201, Everett, WA 98208 2017-08-03
1114454865 Aliza Kreisman Registered Nurse 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 2017-05-12
1902269418 Clay Eakin Counselor 2732 Grand Evenue, Everett, WA 98208 2016-04-01
1467810259 Elizabeth Anne Powley Marriage & Family Therapist 1920 100th Street Southeast, Bld C3, Everett, WA 98208 2016-02-08
1659745842 Andrea Rose Bedlington Pharmacist 11407 33rd Dr. Se, Everett, WA 98208 2015-11-25
1396123865 Sound Surgeons Pllc Clinic/Center 125 130th Street Se, 1st Floor, Everett, WA 98208 2015-05-15
1831576537 Chris Sturgeon Counselor 10102 Meridian Ave, Everett, WA 98208 2015-05-01
1982011128 James M Lee Physical Therapist 10821 19th Ave Se Ste 102, Everett, WA 98208 2014-07-21
1972937357 Ronald Tracy Dentist 10315 19th Avenue Se Suite 110, Everett, WA 98208 2013-08-21
Find all providers in zip 98208

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932496809 Marc J Toso Dentist 5929 Evergreen Way Ste 300, Everett, WA 98203 2011-06-29
1710906300 Christopher Michael Lance Dentist 138 Memorial Dr, Everett, PA 15537-7028 2006-07-18
1316946437 Mark W Stivers Dentist 12728 19th Ave Se # 101, Everett, WA 98208 2005-07-20
1073826996 Gordon B Davis Md Dds Ps Dentist 1111 Pacific Ave, Suite A, Everett, WA 98201-4200 2010-07-20
1184944001 Washingtonoralmaxillofacialsurgery Dentist 5929 Evergreen Way, 300, Everett, WA 98203-6031 2010-06-02
1770787442 Paul E Tesone Dds Inc Dentist 563 Broadway, Suite 4, Everett, MA 02149 2007-06-14
1184779977 Paul Edward Tesone Dentist 563 Broadway, #4, Everett, MA 02149 2007-01-24
1477641041 Gordon Bruce Davis Dentist 1111 Pacific Ave, Ste 1, Everett, WA 98201-4200 2006-10-10
1538257308 Jae Y Hong Dentist 5929 Evergreen Way, # 300, Everett, WA 98203-6031 2006-10-10
1972522530 Gregory Wynn Pyle Dentist 138 Memorial Dr, Everett, PA 15537-7028 2006-07-18
Find all providers in EVERETT

Competitor

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City EVERETT
Zip Code 98208

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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