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DR. MICHAEL M ILYASOV
NPI 1477244564
Dentist - General Practice in Smithtown, NY

Active since May 18, 2023
823 W JERICHO TPKE, SMITHTOWN, NY 11787(631) 543-0550 Get Directions Write a Review

NPPES record last updated: October 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2024, May 18, 2023 (2 updates tracked since 2023).

About Dr. Michael M Ilyasov NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL M ILYASOV (NPI 1477244564) is an individual general practice provider in Smithtown, New York, licensed in New York (064310) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1477244564
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHAEL M ILYASOV
Location Address823 W JERICHO TPKESmithtown, NY 11787-3216
Mailing Address823 W Jericho TpkeSmithtown, NY 11787-3216
Phone(631) 543-0550
Sole ProprietorNo
Enumeration DateMay 18, 2023
Last NPPES UpdateOctober 6, 20242 updates tracked since enumeration
NPPES CertifiedOctober 6, 2024
✔ NPI 1477244564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 064310
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
823 W JERICHO TPKE, Smithtown, NY 11787
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Other Names 1

Other Name (5)Michael M Ilyasov Dds

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. GENNA HELENE SKLAR LCSW
Social Worker (Clinical)
823 W JERICHO TPKE
SMITHTOWN, NY 11787
Suffolk County (631) 864-1477
MRS. REBECCA EVE RYAN L.M.S.W.
Social Worker (Clinical)
823 W JERICHO TPKE
SMITHTOWN, NY 11787
Suffolk County (631) 864-1477
AMY WEST MADENBERG LMSW
Social Worker (Clinical)
823 W JERICHO TPKE, SUITE 1C
SMITHTOWN, NY 11787
Suffolk County (631) 864-1477
DR. VINCENT M MAZUREK D.D.S.
Dentist
823 W JERICHO TPKE, SUITE 1B
SMITHTOWN, NY 11787
Suffolk County (631) 543-0550
VINCENT M. MAZUREK, DDS, PC
Dentist
823 W JERICHO TPKE, SUITE 1B
SMITHTOWN, NY 11787
Suffolk County (631) 543-0550
LINDA HYMAN, LCSW, PC
Social Worker (Clinical)
823 W JERICHO TPKE, SUITE 5C
SMITHTOWN, NY 11787
Suffolk County (631) 864-2682

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Ilyasov's NPI number?

The NPI number for Michael Ilyasov is 1477244564. It was assigned to this individual provider in the NPPES registry on May 18, 2023. The provider is also known as Michael M Ilyasov Dds.

Where is Michael Ilyasov located?

Michael Ilyasov practices at 823 W Jericho Tpke, Smithtown, NY 11787. The listed phone number is (631) 543-0550.

What is Michael Ilyasov's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Michael Ilyasov was last updated on October 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.