Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DMITRIY IVANOV, DDS
Active Sole ProprietorDR. DMITRIY IVANOV, DDS is a Periodontology healthcare provider located in LOS ANGELES, California. NPI 1891142055 is currently active in the NPPES registry. Verify at CMS.
Periodontology · LOS ANGELES, CA
Registration Details
- NPI Number
- 1891142055
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2016 (10.240028030113 yrs)
- Last Updated
- Jul 30, 2025
- Licenses
-
64494 (CA)64494 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3140 SAWTELLE BLVD APT 305LOS ANGELES, CA, 900661468Browse CA providers · Browse ZIP 90066
- Phone
- 3109268985
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Providers in LOS ANGELES, CA
| Name | Credential | NPI |
|---|---|---|
| HATEM ALASSY | — | 1669461802 |
| DR. JEFFERY PUCHER | DDS | 1306882667 |
| DR. TRACY G GOLDEN | D.M.D. | 1093741183 |
| DR. MICHAEL G NEWMAN | DDS | 1194752071 |
| DR. IVAN L. LAPIDUS | D.D.S. | 1790791739 |
| DR. MARK B LIEBERMAN | DDS | 1174534788 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.