Clark Kenneth Kvistad, D.D.S.
Periodontics · Edmonds, WA
Clark Kenneth Kvistad, D.D.S. is a periodontics with a practice address in Edmonds, Washington, and NPI 1093948267, issued on Sep 3, 2009. Check the license (Washington 3580, as entered in NPPES) with the Washington board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Clark Kenneth Kvistad
- Credential
- D.D.S.
- Primary taxonomy
- Periodontics 1223P0300X
- License number
- 3580 WA
Self-reported in NPPES; status is on the state search - Practice location
- 21807 76TH Ave W, Edmonds, WA 98026
- Phone
- (425) 775-2002
- Enumerated
- Sep 3, 2009
- Record last updated
- Sep 3, 2009 (not updated in 17 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
Also registered at 21807 76TH Ave W
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Justin Pagan, D.D.S., M.S.D.Orthodontics and Dentofacial Orthopedics Dentistry1790874758
Verify Clark Kenneth Kvistad in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Washington board licenses this profession
Search for license 3580Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Periodontics providers in Washington
There are 184 periodontics records in Washington. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other periodontics records in Washington
- Jessica Adams, DDS MSDSeattle, WA1730460924
- Steven Aeschliman, D.D.S.Spokane, WA1538256854
- Peter Agnos, D.D.S.Everett, WA1689659245
- Ken Akimoto, DDSIssaquah, WA1992811541
- Huda Albather, DDS,MDS,MPHBellevue, WA1114049574
- Abdullah Alkanan, BDSKennewick, WA1407274202
- Charles Anderegg, DDSBellevue, WA1942397435
- Lena Arvidson, DDS, MSBainbridge Island, WA1255325247
- David Au-Yeung, DMDIssaquah, WA1982841425
- David Baker, D.D.S.Bellingham, WA1669594628
Common questions
What is Clark Kenneth Kvistad, D.D.S.'s NPI number?
Clark Kenneth Kvistad, D.D.S.'s National Provider Identifier (NPI) is 1093948267, issued on Sep 3, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Clark Kenneth Kvistad, D.D.S. located?
The NPPES record lists a practice address at 21807 76TH Ave W, Edmonds, WA, 98026. Phone: (425) 775-2002. Providers update this record themselves, so call before visiting.
How can I verify Clark Kenneth Kvistad, D.D.S.'s license?
NPPES lists Washington license number 3580, as entered by the provider. Search the Washington board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.