| Mellissa Ilgen, Dds, Pllc | |
|
26114 Illinois Ave Ne Kingston WA 98346-7674 | |
| (360) 297-3392 | |
| Not Available |
| Full Name | Mellissa Ilgen, Dds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 26114 Illinois Ave Ne, Kingston, Washington |
| Authorized Official Name and Position | Mellissa Ilgen (DENTIST) |
| Authorized Official Contact | 2069001417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mellissa Ilgen, Dds, Pllc Po Box 149 Kingston WA 98346-0149 Ph: (360) 297-3392 | Mellissa Ilgen, Dds, Pllc 26114 Illinois Ave Ne Kingston WA 98346-7674 Ph: (360) 297-3392 |
| NPI Number | 1386241636 |
|---|---|
| Provider Enumeration Date | 10/08/2020 |
| Last Update Date | 10/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386241636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Sean M Couch Dds Ps Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 25985 Barber Cut Off Rd Ne, Suite B2, Kingston, WA 98346 Phone: 360-297-2298 Fax: 360-297-8445 | |
Port Gamble S'klallam Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 32014 Little Boston Rd Ne, Kingston, WA 98346 Phone: 360-297-9601 Fax: 360-297-9614 |