MARK STIVERS, DDS, INC., P.S.
NPI 1104396969
Dentist - Oral and Maxillofacial Surgery in Everett, WA

Q: What is Mark Stivers, Dds, Inc., P.S.'s NPI number?

The NPI number for Mark Stivers, Dds, Inc., P.S. is 1104396969. It was assigned to this organization in the NPPES registry on December 4, 2018. The provider is doing business as Silver Creek Oral Surgery and Puget Sound Oral Surgery.

Q: What is Mark Stivers, Dds, Inc., P.S.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since December 04, 2018

12728 19TH AVE SE STE 101, EVERETT, WA 98208(425) 224-4661(425) 224-4689 Get Directions Write a Review

NPPES record last updated: December 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mark Stivers, Dds, Inc., P.s. NPPES

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

MARK STIVERS, DDS, INC., P.S. (NPI 1104396969), doing business as Silver Creek Oral Surgery And Puget Sound Oral Surgery, is a healthcare organization registered as an oral and maxillofacial surgery in Everett, Washington and active in the NPI registry since December 2018. The organization lists Mark W Stivers, Owner, as its authorized official.

NPPES Registry Identity

NPI1104396969

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameMARK STIVERS, DDS, INC., P.S.

Location Address12728 19TH AVE SE STE 101Everett, WA 98208-6526

Mailing Address12728 19th Ave Se Ste 101Everett, WA 98208-6526 · (425) 224-4661 · Fax (425) 224-4689

Phone(425) 224-4661

Fax(425) 224-4689

Organization SubpartNo

Authorized OfficialMark W StiversOwner · (425) 239-5600

Enumeration DateDecember 4, 2018

✔ NPI 1104396969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in 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.

12728 19TH AVE SE STE 101, Everett, WA 98208

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Other Names 1

Doing Business AsSilver Creek Oral Surgery And Puget Sound Oral Surgery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Mark Stivers, Dds, Inc., P.S.'s NPI number?

The NPI number for Mark Stivers, Dds, Inc., P.S. is 1104396969. It was assigned to this organization in the NPPES registry on December 4, 2018. The provider is doing business as Silver Creek Oral Surgery and Puget Sound Oral Surgery.

Where is Mark Stivers, Dds, Inc., P.S. located?

Mark Stivers, Dds, Inc., P.S. is located at 12728 19th Ave SE Ste 101, Everett, WA 98208. The listed phone number is (425) 224-4661.

What is Mark Stivers, Dds, Inc., P.S.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Mark Stivers, Dds, Inc., P.S. accept?

Health plans from UnitedHealthcare list Mark Stivers, Dds, Inc., P.S. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Stivers, Dds, Inc., P.S. was last updated on December 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.