Mark W Stivers, DDS | |
12728 19th Ave Se # 101, Everett, WA 98208 | |
(425) 224-4661 | |
Not Available |
Full Name | Mark W Stivers |
---|---|
Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 12728 19th Ave Se # 101, Everett, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316946437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS9908 (Tennessee) | Primary |
Entity Name | University Of Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326002049 PECOS PAC ID: 3274445150 Enrollment ID: O20040105000544 |
Mailing Address | Practice Location Address |
---|---|
Mark W Stivers, DDS 12728 19th Ave Se # 101, Everett, WA 98208-6526 Ph: (425) 224-4661 | Mark W Stivers, DDS 12728 19th Ave Se # 101, Everett, WA 98208 Ph: (425) 224-4661 |
Dr. Gabija Revis, DMD Dentist Medicare: Medicare Enrolled Practice Location: 4201 Rucker Ave, Everett, WA 98203 Phone: 425-382-4000 | |
Dr. Stephen J Lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 10810 19th Ave Se, Everett, WA 98208 Phone: 425-337-4200 | |
Dr. Colleen A Tracy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10315 19th Ave Se, Suite 110, Everett, WA 98208 Phone: 425-337-1000 Fax: 425-337-1099 | |
Dr. Aman Manji, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13112 39th Ave Se Ste B, Everett, WA 98208 Phone: 425-385-3839 | |
Stacy Lin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13322 Highway 99, Suite 202, Everett, WA 98204 Phone: 425-743-3911 Fax: 425-742-7014 | |
Dr. Arbia Zainvi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 305 Se Everett Mall Way, Everett, WA 98208 Phone: 425-513-1993 | |
Bryan Iksu Shin, DDS Dentist Medicare: Medicare Enrolled Practice Location: 927 128th St Sw, Everett, WA 98204 Phone: 425-290-6967 |