ILYA B MIRONOV D.D.S.
NPI 1912067604
Dentist - Dental Public Health in Burlington, WA

Q: What is Ilya Mironov's NPI number?

The NPI number for Ilya Mironov is 1912067604. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Q: What is Ilya Mironov's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Q: When was this NPI record last updated?

The NPPES record for Ilya Mironov was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 11, 2006

OJH CLINIC NO 5 BURLINGTON FAMILY DENTISTRY, 1250 S BURLINGTON BLVD, BURLINGTON, WA 98233(360) 755-5600 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Ilya B Mironov D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILYA B MIRONOV D.D.S. (NPI 1912067604) is an individual dental public health provider in Burlington, Washington, licensed in Washington (DE 00010565) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1912067604

Entity TypeIndividualMale

Primary Taxonomy1223D0001X

Provider Legal NameILYA B MIRONOVCredential: D.D.S.

Location AddressOJH CLINIC NO 5 BURLINGTON FAMILY DENTISTRY, 1250 S BURLINGTON BLVDBurlington, WA 98233

Mailing Address2385 Hughes Ave SwSeattle, WA 98116-1835 · (206) 383-7373

Phone(360) 755-5600

Sole ProprietorNo

Enumeration DateDecember 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1912067604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers

Taxonomy Code1223D0001X

License✔ Licensed in WA · DE 00010565

Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

OJH CLINIC NO 5 BURLINGTON FAMILY DENTISTRY, Burlington, WA 98233

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ilya Mironov's NPI number?

The NPI number for Ilya Mironov is 1912067604. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Ilya Mironov located?

Ilya Mironov practices at Ojh Clinic No 5 Burlington Family Dentistry 1250 S Burlington Blvd, Burlington, WA 98233. The listed phone number is (360) 755-5600.

What is Ilya Mironov's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

When was this NPI record last updated?

The NPPES record for Ilya Mironov was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.