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

Kevin Gardner

Individual provider Dentist · NPI 1043908510

Kevin Gardner is a Dentist in Everett, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2023
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Practice location Address checks out

111 SE Everett Mall Way Bldg D
Everett, WA 98208-3208
Phone: (425) 667-3333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DENT.DE.61435584 (WA)

Record details

NPI number1043908510
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 24, 2023
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023
Mailing address12483 Persons Rd, Bow, WA 98232-7202

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