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KATHRYN GUSTAFSON DDS
NPI 1649046210
Dentist in Bothell, WA

Active since November 27, 2023
19515 N CREEK PKWY STE 212, BOTHELL, WA 98011(425) 486-7764 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathryn Gustafson Dds NPPES

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

KATHRYN GUSTAFSON DDS (NPI 1649046210) is an individual dentist in Bothell, Washington, licensed in Washington (70011443) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1649046210
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameKATHRYN GUSTAFSONCredential: DDS
Location Address19515 N CREEK PKWY STE 212Bothell, WA 98011-8200
Mailing Address17510 W Main St Unit B104Monroe, WA 98272-1992 · (206) 330-9911
Phone(425) 486-7764
Sole ProprietorNo
Enumeration DateNovember 27, 2023
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1649046210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · 70011443
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.
19515 N CREEK PKWY STE 212, Bothell, WA 98011
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Other Providers at the Same Location NPPES 2

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

DR. NORMAN D BOLOSAN DDS
Dentist (General Practice)
19515 N CREEK PKWY STE 212
BOTHELL, WA 98011
King County (425) 486-7764
STEPHANIE TRAN DDS
Dentist
19515 N CREEK PKWY STE 212
BOTHELL, WA 98011
King County (425) 486-7764

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 Kathryn Gustafson's NPI number?

The NPI number for Kathryn Gustafson is 1649046210. It was assigned to this individual provider in the NPPES registry on November 27, 2023.

Where is Kathryn Gustafson located?

Kathryn Gustafson practices at 19515 N Creek Pkwy Ste 212, Bothell, WA 98011. The listed phone number is (425) 486-7764.

What is Kathryn Gustafson'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 Kathryn Gustafson was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.