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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.