MEDICARE: TIMUR ERNAFASOV INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1427917137
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIMUR ERNAFASOV INC

Provider Business Mailing Address
First Line	:	610 W MEEKER ST STE 102
Second Line	:
City	:	KENT
State	:	WA
Zip	:	98032-5726
Country	:	US
Telephone Number	:	253-852-6080
Fax Number	:	253-852-6099

Provider Business Practice Location Address
First Line	:	610 W MEEKER ST STE 102
Second Line	:
City	:	KENT
State	:	WA
Zip	:	98032-5726
Country	:	US
Telephone Number	:	253-852-6080
Fax Number	:	253-852-6099

Authorized Official
Title or Position	:	OWNER
Name	:	MR. TIMUR ERNOFF
Credential	:	DDS
Telephone Number	:	206-353-9049

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

Similar Medicare Providers

1487685376 — DR. TIMUR ERNAFASOV DDS
Practice Location Address:

610 W MEEKER ST , SUITE #102
KENT, WA
98032-5726

Practice Phone: 253-852-6080
Practice Fax: 253-852-6099

1952504474 — DR. ROMAN ROYTBERG DDS
Practice Location Address:

610 W MEEKER ST , SUITE #102
KENT, WA
98032-5726

Practice Phone: 253-852-6080
Practice Fax: 253-852-6099

1215229828 — CHRISTIE D STANLEY PHARM. D
Practice Location Address:

10201 SE 240TH ST
KENT, WA
98031-5726

Practice Phone: 253-859-5533
Practice Fax: 253-859-5541

1326476052 — ADRIANNE LOPEZ
Practice Location Address:

17424 SE 290TH ST
KENT, WA
98042-5726

Practice Phone: 253-303-2983
Practice Fax:

1912375106 — LARYSSA NICOLE MATHENY PT
Practice Location Address:

22415 68TH AVE S
KENT, WA
98032-2444

Practice Phone: 253-395-1131
Practice Fax:

1902188196 — PACIFIC NORTHWEST MEDICAL SERVICES PLLC
Practice Location Address:

18021 68TH AVE S , SUITE 101
KENT, WA
98032-1020

Practice Phone: 425-291-3300
Practice Fax: 425-291-5300

Directions to “TIMUR ERNAFASOV INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.