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Deactivated NPI 1730373853 Deactivated / Inactive NPI Male Practitioner

Dr. Keith Eugene Redd , DDS

Dentist • Everett, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Keith Redd has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2007
NPI Deactivation Date November 13, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Keith Redd, DDS was a registered Dentist practicing in Everett, WA. Throughout an active medical career spanning 12 years, Dr. Redd provided care at the practice location at 2722 COLBY AVE until profile deactivation on 2019-11-13.

Practice Location & Contact Primary Location

Practice Address

2722 Colby Ave
Ste. 500

Everett, WA 982013557

Telephone 4257830655
Fax 4257830925
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
71 Specialists

Practicing in Everett, WA (2853 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE00002879

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

30 Associated Practitioners
Christopher Gallagher

Counselor - Mental Health

NPI 1043048796
Aimee Cruver , MSW

Social Worker

NPI 1063651891

Master of Social Work

Dr. James Thompson , EdD

Counselor - Mental Health

NPI 1093838732

Doctor of Education (Ed.D.)

Susan Bernard , MA

Counselor - Mental Health

NPI 1124236526

Master of Arts

NPI 1144266438

Doctor of Philosophy (Ph.D.)

Lisa Glendenning , LMHC

Counselor - Mental Health

NPI 1144338294

Licensed Mental Health Counselor

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 13, 2019

Record deactivated on November 13, 2019

NPI Profile Active August 31, 2007

NPI status registered as active in NPPES database

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Updated Practice Location August 31, 2007

Registered at 2722 COLBY AVE, STE. 500, EVERETT, WA 982013557 (Tel: 4257830655)

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Updated Business Mailing Address August 31, 2007

Registered at 2722 COLBY AVE, STE. 500, EVERETT, WA 982013557 (Tel: 4257830655)

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Provider Name / Credentials Updated August 31, 2007

Recorded as KEITH REDD, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2007

Dentist (License #DE00002879 in WA)

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Initial NPI Registration & Enumeration August 31, 2007

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: 1730373853
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2007
Last Update: August 31, 2007
Deactivation Date: November 13, 2019

Mailing Address

2722 Colby Ave, Ste. 500

Everett, WA 982013557

Phone: 4257830655

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.