Ilya B Mironov, DDS - Dentist in Burlington, WA

Ilya B Mironov, DDS is a Dentist - Dental Public Health based in Burlington, Washington. Ilya B Mironov is licensed to practice in Washington (license number DE 00010565) and his current practice location is Ojh Clinic No 5 Burlington Family Dentistry, 1250 S Burlington Blvd, Burlington, Washington. He can be reached at his office (for appointments etc.) via phone at (360) 755-5600.

NPI number for Ilya B Mironov is 1912067604 and his current mailing address is 2385 Hughes Ave Sw, Seattle, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912067604.

Contact Information

Ilya B Mironov, DDS
Ojh Clinic No 5 Burlington Family Dentistry, 1250 S Burlington Blvd,
Burlington, WA 98233
(360) 755-5600
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameIlya B Mironov
GenderMale
SpecialityDentist - Dental Public Health
LocationOjh Clinic No 5 Burlington Family Dentistry, Burlington, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1912067604
  • Provider Enumeration Date: 12/11/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Ilya B Mironov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912067604NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223D0001XDentist - Dental Public Health DE 00010565 (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. Ilya B Mironov 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 AddressPractice Location Address
Ilya B Mironov, DDS
2385 Hughes Ave Sw,
Seattle, WA 98116-1835

Ph: (206) 383-7373
Ilya B Mironov, DDS
Ojh Clinic No 5 Burlington Family Dentistry, 1250 S Burlington Blvd,
Burlington, WA 98233

Ph: (360) 755-5600

Reviews and Comments


Dentist in Burlington, WA

Kathleen A Stambaugh, DDS
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Medicare: Not Enrolled in Medicare
Practice Location: 1250 S Burlington Blvd, Burlington, WA 98233
Phone: 360-755-5600    
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Practice Location: 130 E Hazel Ave, Burlington, WA 98233
Phone: 360-755-9136    Fax: 360-755-0431

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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