LARISA ILYUTOVICH
NPI 1780033225
Dentist - General Practice in Fort Lee, NJ

Active since June 06, 2016
301 BRIDGE PLZ N, SUITE 2, FORT LEE, NJ 07024(201) 346-4660(201) 346-1116 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Larisa Ilyutovich NPPES

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

LARISA ILYUTOVICH (NPI 1780033225) is an individual general practice provider in Fort Lee, New Jersey, licensed in New Jersey (DI020299) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1780033225
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameLARISA ILYUTOVICH
Location Address301 BRIDGE PLZ N, SUITE 2Fort Lee, NJ 07024-5059
Mailing Address301 Bridge Plz N, Suite 2Fort Lee, NJ 07024-5059 · (201) 346-4660 · Fax (201) 346-1116
Fax(201) 346-1116
Sole ProprietorYes
Enumeration DateJune 6, 2016
NPI 1780033225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NJ · DI020299
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.

301 BRIDGE PLZ N, Fort Lee, NJ 07024

Other Identifiers 1

Medicaid8797404NJ

Accepted Insurance

Reviews for LARISA ILYUTOVICH

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Ophthalmology
301 BRIDGE PLZ N
FORT LEE, NJ 07024
Ophthalmology
301 BRIDGE PLZ N
FORT LEE, NJ 07024
Ophthalmology
301 BRIDGE PLZ N
FORT LEE, NJ 07024
Specialist
301 BRIDGE PLZ N
FORT LEE, NJ 07024
Dentist (Periodontics)
301 BRIDGE PLZ N
FORT LEE, NJ 07024
Eyewear Supplier
301 BRIDGE PLZ N
FORT LEE, NJ 07024
Optometrist
301 BRIDGE PLZ N
FORT LEE, NJ 07024
Eyewear Supplier
301 BRIDGE PLZ N
FORT LEE, NJ 07024
Physical Therapist
301 BRIDGE PLZ N, FORT LEE PHYSICAL THERAPY
FORT LEE, NJ 07024
Physical Therapist
301 BRIDGE PLZ N
FORT LEE, NJ 07024
Physical Therapist
301 BRIDGE PLZ N
FORT LEE, NJ 07024
Clinic/Center (Ambulatory Surgical)
301 BRIDGE PLZ N
FORT LEE, NJ 07024
Internal Medicine
301 BRIDGE PLZ N
FORT LEE, NJ 07024
Physical Therapist
301 BRIDGE PLZ N
FORT LEE, NJ 07024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780033225, enumerated as an "individual" on June 06, 2016.

The provider is located at 301 BRIDGE PLZ N SUITE 2 FORT LEE, NJ 07024 and the phone number is (201) 346-4660.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.