Larisa Ilyutovich is a Fort Lee, New Jersey based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Larisa Ilyutovich is
DI020299 for General Practice Dentistry in New Jersey. His current practice location is
301 Bridge Plz N, Suite 2, Fort Lee. Patients can reach him at
201-346-4660.
Larisa Ilyutovich is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Larisa Ilyutovich speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Larisa Ilyutovich |
| Specialization: | Dentist |
| Gender: | Male |
| Accepts Medicare Assignment: | No |
| Practice Address: | 301 Bridge Plz N, Suite 2, Fort Lee,
New Jersey, 07024-5059 |
| Phone: | 201-346-4660 |
| Fax: | 201-346-1116 |
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 are as mentioned below.
| NPI Number: | 1780033225 |
| NPI Enumeration Date: | 06 Jun, 2016 |
| NPI Last Update On: | 06 Jun, 2016 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Larisa Ilyutovich are as mentioned below.
| License Number | Specialization | State | Status | |
| DI020299 | General Practice Dentistry | New Jersey | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Larisa Ilyutovich such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 8797404 | Medicaid | New Jersey | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 301 Bridge Plz N, Suite 2
Fort Lee, New Jersey |
| Zip: | 07024-5059 |
| Phone Number: | 201-346-4660 |
| Fax Number: | 201-346-1116 |
Patients can reach Larisa Ilyutovich at
301 Bridge Plz N, Suite 2, 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.