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

Individual provider General Practice Dentistry · NPI 1063402774

Dr. Ilya Yagudayev, DDS is a General Practice Dentistry in Forest Hills, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
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

6511 108th St Ofc A
Forest Hills, NY 11375-1854
Phone: (718) 997-1954
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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 046209 (NY)

Record details

NPI number1063402774
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 24, 2005
Last updated in NPPESJuly 13, 2026

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