MEDICARE: BIRCH DENTISTRY (YELENA CHUVASHOVA DDS PLLC)

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1679418867
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIRCH DENTISTRY (YELENA CHUVASHOVA DDS PLLC)

Provider Business Mailing Address
First Line	:	240 NW GILMAN BLVD STE 7
Second Line	:
City	:	ISSAQUAH
State	:	WA
Zip	:	98027-2418
Country	:	US
Telephone Number	:	425-651-6000
Fax Number	:	425-677-8287

Provider Business Practice Location Address
First Line	:	240 NW GILMAN BLVD STE 7
Second Line	:
City	:	ISSAQUAH
State	:	WA
Zip	:	98027-2418
Country	:	US
Telephone Number	:	425-651-6000
Fax Number	:	425-677-8287

Authorized Official
Title or Position	:	OWNER
Name	:	YELENA CHUVASHOVA
Credential	:	DDS
Telephone Number	:	425-651-6000

Provider Enumeration Date	:	04/22/2026
Last Update Date	:	04/22/2026

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