Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790037547 Individual Practitioner Female Practitioner

Dr. Mellissa Ann Ilgen , DDS

Dentist - General Practice • Bellevue, WA

Professional Overview & Biography Verified Profile Summary

Dr. Mellissa Ilgen, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bellevue, WA. Practice services are available at 4100 FACTORIA BLVD. SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4100 Factoria Blvd. Se
Suite C

Bellevue, WA 98006

Telephone 4257477000
Fax 3036485610
Associated Practice Facility / Clinic
🏢 Cooleys Dds Ps Facility NPI 1558478990

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bellevue, WA

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

Practicing in Bellevue, 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 DE60679147

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

4 Associated Practitioners
Aaron Cooley

Dentist - General Practice

NPI 1225145675
Brandon Cooley

Dentist - General Practice

NPI 1366559718
Gary Cooley

Dentist - General Practice

NPI 1770690133
NPI 1982853107

Doctor of Dental Surgery

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location April 19, 2019

Registered at 4100 FACTORIA BLVD. SE, SUITE C, BELLEVUE, WA 98006 (Tel: 4257477000)

📍
Updated Business Mailing Address April 19, 2019

Registered at 4100 FACTORIA BLVD. SE, SUITE C, BELLEVUE, WA 98006 (Tel: 4257477000)

👤
Provider Name / Credentials Updated April 19, 2019

Recorded as MELLISSA ILGEN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2019

Dentist (License #DE60679147 in WA)

NPI Profile Active October 03, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2012

Registered at 1100 S COLORADO BLVD, GLENDALE, CO 802463003 (Tel: 3037580575)

📍
Updated Business Mailing Address October 03, 2012

Registered at 1100 S COLORADO BLVD, GLENDALE, CO 802463003 (Tel: 3037580575)

👤
Provider Name / Credentials Updated October 03, 2012

Recorded as MELLISSA GILMAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2012

Dentist (License #00201839 in CO)

🟢
Initial NPI Registration & Enumeration October 03, 2012

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: 1790037547
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2012
Last Update: April 19, 2019
Sole Proprietor: No

Mailing Address

4100 Factoria Blvd. Se, Suite C

Bellevue, WA 98006

Phone: 4257477000

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.