PAVEL TERESHCHUK
NPI 1992470827
Dental Hygienist in Lynnwood, WA

Active since August 12, 2021
4111 ALDERWOOD MALL BLVD, LYNNWOOD, WA 98036(425) 249-0771 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 20, 2021, Aug 12, 2021 (2 updates tracked since 2021).

About Pavel Tereshchuk NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAVEL TERESHCHUK (NPI 1992470827) is an individual dental hygienist in Lynnwood, Washington, licensed in Washington (DH61098804) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1992470827
Entity TypeIndividualMale
Primary Taxonomy124Q00000X
Provider Legal NamePAVEL TERESHCHUK
Location Address4111 ALDERWOOD MALL BLVDLynnwood, WA 98036-6765
Mailing Address10829 87th Ave NeMarysville, WA 98271-7629
Sole ProprietorNo
Enumeration DateAugust 12, 2021
Last NPPES UpdateAugust 20, 20212 updates tracked since enumeration
NPPES CertifiedAugust 20, 2021
NPI 1992470827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License Licensed in WA · DH61098804
Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.

4111 ALDERWOOD MALL BLVD, Lynnwood, WA 98036

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
4111 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Counselor
4111 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Counselor
4111 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Clinic/Center (Federally Qualified Health Center (FQHC))
4111 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Clinic/Center (Federally Qualified Health Center (FQHC))
4111 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Counselor (Mental Health)
4111 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Nurse Practitioner
4111 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036
Counselor (Mental Health)
4111 ALDERWOOD MALL BLVD
LYNNWOOD, WA 98036

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992470827, enumerated as an "individual" on August 12, 2021.

The provider is located at 4111 ALDERWOOD MALL BLVD LYNNWOOD, WA 98036 and the phone number is (425) 249-0771.

Dental Hygienist with taxonomy code 124Q00000X.