Gina Lightner

Dentist · Issaquah, WA

Individual Active NPI

NPI number 1114519683

Practice location

3707 Providence Point Drive SE
Suite E
Issaquah, WA 98029-6216
Phone
(425) 391-1331
Fax
(425) 391-5021

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NPI record

NPI
1114519683
Entity type
Individual (Type 1)
Enumeration date
February 6, 2021
Last updated
May 27, 2026
Certified
May 27, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN1859297 MA
Student in an Organized Health Care Education/Training Program 390200000X — —

Other practice locations (1)

  • 21 Merchants Row Ste 2A, Boston, MA 02109-2040 · (617) 523-0688

About Gina Lightner

Gina Lightner is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 3707 Providence Point Drive SE, Suite E, Issaquah, WA 98029-6216. The NPI number 1114519683 was assigned on February 6, 2021 and the record was last updated on May 27, 2026.

Gina Lightner lists a license in the registry: #DN1859297 (MA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gina Lightner?

The NPI number is 1114519683.

What is the phone number of Gina Lightner?

The phone number listed for the practice location is (425) 391-1331.

Where is Gina Lightner located?

3707 Providence Point Drive SE, Suite E, Issaquah, WA 98029-6216.

What is the taxonomy code for Gina Lightner?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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