| 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. 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: Not Enrolled in Medicare Practice Location: 927 128th St Sw, Everett, WA 98204 Phone: 425-290-6967 |
Dr. Amit Wadke, Dentist Medicare: Medicare Enrolled Practice Location: 10025 19th Ave Se Ste 201, Everett, WA 98208 Phone: 425-322-1865 |