Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Emmanuil Ilyayev, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679766646

Dr. Emmanuil Ilyayev, DDS is a Student in an Organized Health Care Education/Training Program in Rego Park, New York. Licensed in Connecticut and New York. Registered with an NPI since 2007.

Licensed in
CT, NY
In the registry since
2007
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

9819 64th Ave 4G
Rego Park, NY 11374-2542
Phone: (718) 578-8612
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 058141 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
General Practice Dentistry Taxonomy 1223G0001X · Licence 11338 (CT)

Record details

NPI number1679766646
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 23, 2007
Last updated in NPPESMarch 7, 2016
Mailing address9819 64th Ave, 4g, Rego Park, NY 11374-2542

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