Organization · Type 2 NPI

Mark Stivers, Dds, Inc., P.s.

Oral and Maxillofacial Surgery (Dentist) · Everett, WA

NPI number 1104396969 Active

Practice location

12728 19th Ave SE Ste 101
Everett, WA 98208-6526

Fax (425) 224-4689

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed

Oral and Maxillofacial Surgery (Dentist): 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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About NPI 1104396969

Mark Stivers, Dds, Inc., P.s.'s National Provider Identifier is 1104396969, issued on Dec 4, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Everett, WA. The record was last updated on Dec 4, 2018.