Michael M. Ilyasov
General Practice Dentistry · Smithtown, NY
Practice location
823 W Jericho TpkeSmithtown, NY 11787-3216
- Phone
- (631) 543-0550
NPI record
- NPI
- 1477244564
- Entity type
- Individual (Type 1)
- Enumeration date
- May 18, 2023
- Last updated
- October 6, 2024
- Certified
- October 6, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
064310 | NY |
About Michael Ilyasov
Michael M. Ilyasov is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 823 W Jericho Tpke, Smithtown, NY 11787-3216. The NPI number 1477244564 was assigned on May 18, 2023 and the record was last updated on October 6, 2024.
Michael Ilyasov lists a license in the registry: #064310 (NY) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Michael M. Ilyasov?
The NPI number is 1477244564.
What is the phone number of Michael Ilyasov?
The phone number listed for the practice location is (631) 543-0550.
Where is Michael Ilyasov located?
823 W Jericho Tpke, Smithtown, NY 11787-3216.
What is the taxonomy code for Michael Ilyasov?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other General Practice Dentistry providers in Smithtown
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- Sonia Motwani, DDS319 E Middle Country Rd Ste 6
- Carl E. Lavorata, D.D.S.1036 W Jericho Tpke
- Philip Yi-Pu Kuo, D.M.D285 E Main St
- Nicholas Charles Laudati, DDS265 N Country Rd
- Richard Bruce Goldman, D.D.S.18 Thatch Pond Rd
- Patricia A. Kennedy Hingerton, DDS1036 W Jericho Tpke
- Richard Klein, DDS496 Smithtown BYP
- Kevin Dipietrantonio, DDS50 Landing Ave
- Paul Richard Leary, D.M.D.80 Maple Ave
- Deborah S. Adams, DDS329 E Main St