Healthcare Provider Details

I. General information

NPI: 1417825845
Provider Name (Legal Business Name): ONESMILE NW HOLDINGS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22500 SE 64TH PL # G120
ISSAQUAH WA
98027-8111
US

IV. Provider business mailing address

22500 SE 64TH PL # G120
ISSAQUAH WA
98027-8111
US

V. Phone/Fax

Practice location:
  • Phone: 425-669-9495
  • Fax: 425-242-3300
Mailing address:
  • Phone: 425-669-9495
  • Fax: 425-242-3300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. ILYA MILOSLAVSKIY
Title or Position: OWNER
Credential: DDS
Phone: 917-658-4575