Individual provider · Type 1 NPI

Gina Lightner

Dentist · Issaquah, WA

NPI number 1114519683 Active

Practice location

3707 Providence Point Drive SE, Suite E
Issaquah, WA 98029-6216

Fax (425) 391-5021

Other practice locations

  • 21 Merchants Row Ste 2A, Boston, MA 02109-2040 · (617) 523-0688

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dentist Primary 122300000XDN1859297 (MA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1114519683

Gina Lightner's National Provider Identifier is 1114519683, issued on Feb 6, 2021. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Issaquah, WA. The record was last updated on May 27, 2026.