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

Kathryn Gustafson, DDS

Individual provider Dentist · NPI 1649046210

Kathryn Gustafson, DDS is a Dentist in Bothell, Washington. Licensed in Washington. Registered with an NPI since 2023.

Licensed in
WA
In the registry since
2023
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.

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Practice location Address checks out

19515 N Creek Pkwy Ste 212
Bothell, WA 98011-8200
Phone: (425) 486-7764
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 70011443 (WA)

Record details

NPI number1649046210
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 27, 2023
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025
Mailing address17510 W Main St Unit B104, Monroe, WA 98272-1992

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