Individual provider · Type 1 NPI

Mark W. Stivers, DDS

Oral and Maxillofacial Surgery (Dentist) · Everett, WA

NPI number 1316946437 Active

Practice location

12728 19th Ave SE # 101
Everett, WA 98208

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDS9908 (TN)

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 1316946437

Mark W. Stivers, DDS's National Provider Identifier is 1316946437, issued on Jul 20, 2005. 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 Jul 25, 2018.