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Mark W Stivers, DDS
Oral and Maxillofacial Surgery (Dentist) in Everett, Washington
NPI 1316946437

Mark W Stivers is a Oral and Maxillofacial Surgery (Dentist) based in Everett, WA and is specialized in Oral and Maxillofacial Surgery. Mark W Stivers practices in Everett, WA and has the professional credentials of DDS. The NPI Number for Mark W Stivers is 1316946437 and holds a License No. DS9908 (Washington).

The current practice location address for Mark W Stivers is 12728 19Th Ave Se # 101, Everett, WA and can be reached out via phone at 425-224-4661.

Location: 12728 19Th Ave Se # 101, Everett, WA, 98208-6526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316946437
Provider Name
Mark W Stivers
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
12728 19Th Ave Se # 101, Everett, WA, 98208-6526
Phone Number
425-224-4661
Fax Number
Provider Enumeration Date
07/20/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12728 19Th Ave Se # 101
City
Everett
State
Washington
Zip
98208
Phone Number
425-224-4661
Fax Number
person
Provider Business Mailing Address Details
Address
12728 19Th Ave Se # 101
City
Everett
State
Washington
Zip
98208
Phone Number
425-224-4661
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DS9908 (Tennessee)
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.
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