Individual provider · Type 1 NPI

Ilya Yagudayev, DDS

General Practice Dentistry · Forest Hills, NY

NPI number 1063402774 Active

Practice location

6511 108th St, Office A
Forest Hills, NY 11375-1854

Mailing address

18 Kew Gardens Rd
Kew Gardens, NY 11415-1104

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X046209 (NY)

General Practice Dentistry: 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.

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About NPI 1063402774

Ilya Yagudayev, DDS's National Provider Identifier is 1063402774, issued on Oct 24, 2005. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Forest Hills, NY. The record was last updated on Jul 13, 2026.