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Active NPI 1457330490 Individual Practitioner Male Practitioner

Dr. Mark T Hetzer , DDS

Dentist - General Practice • Lynnwood, WA

Professional Overview & Biography Verified Profile Summary

Dr. Mark Hetzer, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lynnwood, WA. Practice services are available at 18905 33RD AVE W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18905 33rd Ave W
#201

Lynnwood, WA 980364730

Telephone 4257719090
Fax 4257751549
Associated Practice Facility / Clinic
🏢 Copper Creek Medical, Inc. Facility NPI 1942558739

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lynnwood, WA

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

Practicing in Lynnwood, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA 7051

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

1 Associated Practitioners
Dr. Mark Janczakowski , DDS

Dentist - General Practice

NPI 1881673812

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 18905 33RD AVE W, #201, LYNNWOOD, WA 980364730 (Tel: 4257719090)

📍
Updated Business Mailing Address July 08, 2007

Registered at 18905 33RD AVE W #201, LYNNWOOD, WA 980364730 (Tel: 4257719090)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK HETZER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #7051 in WA)

🟢
Initial NPI Registration & Enumeration January 10, 2006

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: 1457330490
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

18905 33rd Ave W #201

Lynnwood, WA 980364730

Phone: 4257719090

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.