Dr. Michael M Ilyasov
Dr. Michael M Ilyasov is a General Practice Dentistry in Smithtown, New York. Licensed in New York. Registered with an NPI since 2023.
- Licensed in
- NY
- In the registry since
- 2023
Practice location Address checks out
823 W Jericho TpkeSmithtown, NY 11787-3216
Phone: (631) 543-0550
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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 064310 (NY) |
|---|
Record details
| NPI number | 1477244564 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 18, 2023 |
| Last updated in NPPES | October 6, 2024 |
| Certification date | October 6, 2024 |
| Mailing address | 823 W Jericho Tpke, Smithtown, NY 11787-3216 |
Other providers in Smithtown
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Dr. Richard Bruce Goldman, DDS
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Dr. Matthew Alfred Hanna, DMD
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Dr. Harry Z. Hoffer, DDS
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Dr. Bruce Evan Howard, DDS
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Patricia A Kennedy Hingerton, DDS
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Dr. Dimitrios Kilimitzoglou, DDS
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Richard Klein, DDS
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