OrganizationActive
Mark Stivers, DDS, Inc., P.s.
NPI 1104396969 · Oral and Maxillofacial Surgery (Dentist) · Everett, WA
Provider details
- NPI number
- 1104396969
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Mark Stivers, Owner(425) 239-5600
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12728 19th Ave Se Ste 101
Everett, WA 98208-6526
Phone: (425) 224-4661
Fax: (425) 224-4689
Street-level locationGet directions
Mailing address
12728 19th Ave Se Ste 101
Everett, WA 98208-6526
Other names (DBA / former)
- Doing business as
- Silver Creek Oral Surgery and Puget Sound Oral Surgery
Registry dates
- Enumerated
- 2018-12-04
- Last updated
- 2018-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.