Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Clark Kenneth Kvistad, DDS

Individual provider Periodontics · NPI 1093948267

Dr. Clark Kenneth Kvistad, DDS is a Periodontics in Edmonds, Washington. Licensed in Washington. Registered with an NPI since 2009.

Licensed in
WA
In the registry since
2009
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

21807 76th Ave W
Edmonds, WA 98026-7938
Phone: (425) 775-2002
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 3580 (WA)

Record details

NPI number1093948267
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 3, 2009
Last updated in NPPESSeptember 3, 2009

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