Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508265992 Individual Practitioner Male Practitioner

Dr. Jacob Kefgen , DDS

Dentist - General Practice • Everett, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Kefgen, DDS is a registered healthcare professional specializing in Dentist - General Practice in Everett, WA. Practice services are available at 1019 112TH ST SW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1019 112th St Sw

Everett, WA 982044875

Telephone 4255516001
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
83 Specialists

Practicing in Everett, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-01-05
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE60480884

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
NPI 1053492769

Doctor of Dental Surgery

Eva Torres , RDH

Dental Hygienist

NPI 1184889487

Registered Dental Hygienist

Hiruy Gebrewold , RDH

Dental Hygienist

NPI 1487008462

Registered Dental Hygienist

Ran Tao , RDH

Dental Hygienist

NPI 1548867302

Registered Dental Hygienist

Aneka Vo

Dentist - General Practice

NPI 1629641675
NPI 1710298427

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 05, 2021

Registered at 1019 112TH ST SW, EVERETT, WA 982044875 (Tel: 4255516001)

📍
Updated Business Mailing Address January 05, 2021

Registered at 1019 112TH ST SW, EVERETT, WA 982044875 (Tel: 4255516001)

NPI Profile Active August 21, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 21, 2014

Registered at 20815 106TH AVE SE, SNOHOMISH, WA 982967175 (Tel: 4253147997)

📍
Updated Business Mailing Address August 21, 2014

Registered at 20815 106TH AVE SE, SNOHOMISH, WA 982967175 (Tel: 4253147997)

👤
Provider Name / Credentials Updated August 21, 2014

Recorded as JACOB KEFGEN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2014

Dentist (License #DE60480884 in WA)

🟢
Initial NPI Registration & Enumeration August 21, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508265992
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2014
Last Update: January 05, 2021
Sole Proprietor: No

Mailing Address

1019 112th St Sw

Everett, WA 982044875

Phone: 4255516001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.