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GIDE DENTAL IMPLANT CENTER
NPI 1477411254
Dentist - General Practice in Los Angeles, CA

Active since January 12, 2026
12217 W PICO BLVD, LOS ANGELES, CA 90064(310) 820-9641 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gide Dental Implant Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GIDE DENTAL IMPLANT CENTER (NPI 1477411254) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since January 2026. The organization lists Aleksandar Jovanovic, Doctor, as its authorized official.

NPPES Registry Identity

NPI1477411254
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGIDE DENTAL IMPLANT CENTER
Location Address12217 W PICO BLVDLos Angeles, CA 90064-1134
Mailing Address12217 W Pico BlvdLos Angeles, CA 90064-1134 · (310) 820-9641
Phone(310) 820-9641
Organization SubpartNo
Authorized OfficialAleksandar JovanovicDoctor · (310) 820-9641
Enumeration DateJanuary 12, 2026
NPPES CertifiedJanuary 12, 2026
✔ NPI 1477411254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
12217 W PICO BLVD, Los Angeles, CA 90064
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALEKSANDAR JOVANOVIC DDS, MS
Dentist (Periodontics)
12217 W PICO BLVD
LOS ANGELES, CA 90064
Los Angeles County (310) 820-9641

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gide Dental Implant Center's NPI number?

The NPI number for Gide Dental Implant Center is 1477411254. It was assigned to this organization in the NPPES registry on January 12, 2026.

Where is Gide Dental Implant Center located?

Gide Dental Implant Center is located at 12217 W Pico Blvd, Los Angeles, CA 90064. The listed phone number is (310) 820-9641.

What is Gide Dental Implant Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Gide Dental Implant Center was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.