What is Michael Ilyasov's NPI number?

Michael Ilyasov's National Provider Identifier (NPI) is 1477244564, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Michael Ilyasov's specialty?

Michael Ilyasov is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Michael Ilyasov located?

Michael Ilyasov's practice location on file with NPPES is 823 W Jericho Tpke, Smithtown, NY 11787-3216.

What is Michael Ilyasov's phone number?

The practice phone number listed in the NPPES registry for Michael Ilyasov is (631) 543-0550.

Is Michael Ilyasov's NPI active?

Yes — Michael Ilyasov's NPI (1477244564) is active in the NPPES registry as of the last update on 2024-10-06.

IndividualActive

Michael Ilyasov

NPI 1477244564 · General Practice Dentistry · Smithtown, NY

Michael Ilyasov is a General Practice Dentistry provider in Smithtown, NY (NPI 1477244564).

Provider details

NPI number: 1477244564
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Sex: Male
Sole proprietor: No
License: 064310 (NY)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 064310 (NY)
Dental Providers

Profile Score

Established profile(58/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
3 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

823 W Jericho Tpke

Smithtown, NY 11787-3216

Phone: (631) 543-0550

Street-level locationGet directions

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Mailing address