Chloe Marie Mirick, DDS is a
Dentist based in Black Diamond, Washington. Chloe Marie Mirick is licensed to practice in Washington (license number DE61090946) and her current practice location is
31231 3rd Ave Ste 100, Black Diamond, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 851-1288.
NPI number for Chloe Marie Mirick is 1194338954 and her current mailing address is 31231 3rd Ave Ste 100, Black Diamond, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194338954.
Healthcare Provider's Profile
| Full Name | Chloe Marie Mirick |
|---|
| Gender | Female |
|---|
| Speciality | Dentist |
|---|
| Location | 31231 3rd Ave Ste 100, Black Diamond, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194338954
- Provider Enumeration Date: 08/30/2020
- Last Update Date: 03/18/2026
Medical Identifiers
Medical identifiers for Chloe Marie Mirick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194338954 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | DE61090946 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chloe Marie Mirick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Chloe Marie Mirick, DDS 31231 3rd Ave Ste 100, Black Diamond, WA 98010-9802 Ph: (360) 851-1288 | Chloe Marie Mirick, DDS 31231 3rd Ave Ste 100, Black Diamond, WA 98010-9802 Ph: (360) 851-1288 |
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