Larisa Ilyutovich Dds Pc is a Dental Clinic in Fort Lee, New Jersey. It is located at 301 Bridge Plaza North, 2nd Flr, Fort Lee, NJ and its contact number is 201-346-4660. The authorized person for Larisa Ilyutovich Dds Pc is Mrs. Larisa Ilyutovich
who is President Owner of the clinic and their contact number is 201-346-4660. The primary license number for Larisa Ilyutovich Dds Pc is DI020299 (General Practice) in New Jersey.
Larisa Ilyutovich Dds Pc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Larisa Ilyutovich Dds Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Larisa Ilyutovich Dds Pc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 301 Bridge Plaza North, 2nd Flr, Fort Lee,
New Jersey, 07024 |
| Phone: | 201-346-4660 |
| Fax: | 201-346-1116 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Larisa Ilyutovich |
| Position: | President Owner |
| Contact Number: | 201-346-4660 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Larisa Ilyutovich Dds Pc clinic are as mentioned below.
| NPI Number: | 1609954064 |
| NPI Enumeration Date: | 02 Nov, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Larisa Ilyutovich Dds Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | DI020299 | New Jersey | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 8797404 | Medicaid | New Jersey | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Larisa Ilyutovich Dds Pc
301 Bridge Plaza North, 2nd Flr
Fort Lee, New Jersey |
| Zip: | 07024 |
| Phone Number: | 201-346-4660 |
| Fax Number: | 201-346-1116 |
Patients can reach Larisa Ilyutovich Dds Pc at
301 Bridge Plaza North, 2nd Flr, Fort Lee, New Jersey or can
call to book an appointment on 201-346-4660.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.