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KEVIN GARDNER
NPI 1043908510
Dentist in Everett, WA

Active since April 24, 2023
111 SE EVERETT MALL WAY BLDG D, EVERETT, WA 98208(425) 667-3333 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Gardner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN GARDNER (NPI 1043908510) is an individual dentist in Everett, Washington, licensed in Washington (DENT.DE.61435584) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1043908510
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameKEVIN GARDNER
Location Address111 SE EVERETT MALL WAY BLDG DEverett, WA 98208-3208
Mailing Address12483 Persons RdBow, WA 98232-7202 · (360) 391-7455
Phone(425) 667-3333
Sole ProprietorYes
Enumeration DateApril 24, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1043908510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · DENT.DE.61435584
Definition
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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
111 SE EVERETT MALL WAY BLDG D, Everett, WA 98208
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONGHO KIM DDS PLLC
Dentist (General Practice)
111 SE EVERETT MALL WAY BLDG D
EVERETT, WA 98208
Snohomish County (425) 267-3333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Gardner's NPI number?

The NPI number for Kevin Gardner is 1043908510. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Kevin Gardner located?

Kevin Gardner practices at 111 SE Everett Mall Way Bldg D, Everett, WA 98208. The listed phone number is (425) 667-3333.

What is Kevin Gardner's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Kevin Gardner was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.