OrganizationActive
Mellissa Ilgen, DDS, PLLC
NPI 1386241636 · Dental Clinic/Center · Kingston, WA
Provider details
- NPI number
- 1386241636
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mellissa Ilgen, Dentist(206) 900-1417
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
26114 Illinois Ave Ne
Kingston, WA 98346-7674
Phone: (360) 297-3392
Street-level locationGet directions
Mailing address
Po Box 149
Kingston, WA 98346-0149
Other names (DBA / former)
- Doing business as
- Appletree Cove Dental Center
- Doing business as
- Appletree Cove Dental Center
Registry dates
- Enumerated
- 2020-10-08
- Last updated
- 2020-10-10
- Certified
- 2020-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.