Dr. Clark Kenneth Kvistad is a Edmonds, Washington based Periodontics who is specialized in
Periodontology. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Clark Kenneth Kvistad is
3580 for Periodontology in Washington. His current practice location is
21807 76th Ave W, Edmonds. Patients can reach him at
425-775-2002.
Dr. Clark Kenneth Kvistad is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Profile:
Dr. Clark Kenneth Kvistad speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Clark Kenneth Kvistad |
| Specialization: | Periodontics |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 21807 76th Ave W, Edmonds,
Washington, 98026-7938 |
| Phone: | 425-775-2002 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1093948267 |
| NPI Enumeration Date: | 03 Sep, 2009 |
| NPI Last Update On: | 03 Sep, 2009 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Clark Kenneth Kvistad are as mentioned below.
| License Number | Specialization | State | Status | |
| 3580 | Periodontology | Washington | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 21807 76th Ave W,
Edmonds, Washington |
| Zip: | 98026-7938 |
| Phone Number: | 425-775-2002 |
Patients can reach Dr. Clark Kenneth Kvistad at
21807 76th Ave W, Edmonds, Washington or can
call to book an appointment on 425-775-2002.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.