Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Illya Alex Tarasenko, DMD

Individual provider Dentist · NPI 1720238090

Dr. Illya Alex Tarasenko, DMD is a Dentist in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York and Pennsylvania.

Licensed in
NY, PA
In the registry since
2008
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

139 Kane St #4
Brooklyn, NY 11231-5229
Phone: (267) 304-4701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 053958 (NY)
Dentist Taxonomy 122300000X · Licence 037413 (PA)

Record details

NPI number1720238090
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 23, 2008
Last updated in NPPESSeptember 23, 2008

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