Kathryn Gustafson, DDS

Dentist · Bothell, WA

Individual Active NPI

NPI number 1649046210

Practice location

19515 N Creek Pkwy Ste 212
Bothell, WA 98011-8200
Phone
(425) 486-7764

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NPI record

NPI
1649046210
Entity type
Individual (Type 1)
Enumeration date
November 27, 2023
Last updated
July 24, 2025
Certified
July 24, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 70011443 WA

Mailing address

17510 W Main St Unit B104
Monroe, WA 98272-1992
Phone
(206) 330-9911

About Dr. Gustafson

Kathryn Gustafson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 19515 N Creek Pkwy Ste 212, Bothell, WA 98011-8200. The NPI number 1649046210 was assigned on November 27, 2023 and the record was last updated on July 24, 2025.

Dr. Gustafson lists a license in the registry: #70011443 (WA) 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 Kathryn Gustafson, DDS?

The NPI number is 1649046210.

What is the phone number of Dr. Gustafson?

The phone number listed for the practice location is (425) 486-7764.

Where is Dr. Gustafson located?

19515 N Creek Pkwy Ste 212, Bothell, WA 98011-8200.

What is the taxonomy code for Dr. Gustafson?

The primary taxonomy code is 122300000X – Dentist.

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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