Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Illya Alex Tarasenko, DMD

Individual provider Dentist · NPI 1720238090

Dr. Illya Alex Tarasenko, DMD is a Dentist in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York and Pennsylvania.

Licensed in
NY, PA
In the registry since
2008
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

139 Kane St #4
Brooklyn, NY 11231-5229
Phone: (267) 304-4701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 053958 (NY)
Dentist Taxonomy 122300000X · Licence 037413 (PA)

Record details

NPI number1720238090
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 23, 2008
Last updated in NPPESSeptember 23, 2008
Mailing address139 Kane St, 4, Brooklyn, NY 11231-5229

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