Larisa Ilyutovich Dds Pc in Fort Lee - General Practice
Larisa Ilyutovich Dds Pc - NPI 1609954064
Larisa Ilyutovich Dds Pc is a General Practice in Fort Lee, New Jersey. Larisa Ilyutovich Dds Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Larisa Ilyutovich Dds Pc is 1609954064. The last update date is 2020-08-22.
Larisa Ilyutovich Dds Pc's current location address is 301 Bridge Plaza North, Fort Lee, New Jersey. You can contact this provider via phone number 2013464660 and fax number 2013461116. The mailing address for Larisa Ilyutovich Dds Pc is 301 Bridge Plaza North, Fort Lee, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Larisa Ilyutovich Dds Pc |
|---|---|
| Address | 301 Bridge Plaza North, Fort Lee, New Jersey |
| Phone Number | 2013464660 |
| Fax Number | 2013461116 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ilyutovich Larisa |
| Credentials | DDS |
| Telephone Number | 2013464660 |
NPI Number Detail
| NPI Number | 1609954064 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 301 Bridge Plaza North |
|---|---|
| City | Fort Lee |
| State | New Jersey (NJ) |
| Post Code | 7024 |
| Phone Number | 2013464660 |
| Fax Number | 2013461116 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DI020299 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8797404 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Larisa Ilyutovich Dds Pc by the Centers for Medicare & Medicaid Services?
The Larisa Ilyutovich Dds Pc has been assigned the NPI (National Provider Identifier) 1609954064 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Larisa Ilyutovich Dds Pc is physically located?
The Larisa Ilyutovich Dds Pc is physically situated at the following address: 301 Bridge Plaza North, Fort Lee, NJ, 7024.
What is Larisa Ilyutovich Dds Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Larisa Ilyutovich Dds Pc's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Larisa Ilyutovich Dds Pc receive the assignment of its 1609954064 from the Centers for Medicare & Medicaid Services?
The Larisa Ilyutovich Dds Pc was issued its 1609954064 by the Centers for Medicare & Medicaid Services on 2006-11-02.
As of what date were the details pertaining to Larisa Ilyutovich Dds Pc last refreshed?
The information related to the Larisa Ilyutovich Dds Pc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.