DR. DMITRIY IVANOV DDS NPI 1891142055

NPI Information

  • NPI: 1891142055
  • Provider Name: DR. DMITRIY IVANOV, DDS
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • Address: 3140 SAWTELLE BLVD APT 305
    LOS ANGELES, CA
    ZIP 90066
  • Phone: (310) 926-8985

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NPI Details

DR. Dmitriy Ivanov, DDS is a periodontics dentist in Los Angeles, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Dmitriy Ivanov, DDS NPI is 1891142055. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3140 SAWTELLE BLVD APT 305
LOS ANGELES, CA
ZIP 90066-468
Phone: (310) 926-8985

The enumeration date for this NPI number is 5/18/2016 and was last updated on 7/30/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist64494CALIFORNIANo
21223P0300XDentistPeriodontics64494CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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