DMITRIY IVANOV, DDS DENTAL CORP
NPI 1619850088
Dentist - Periodontics in El Segundo, CA

Q: What is Dmitriy Ivanov, Dds Dental Corp's NPI number?

The NPI number for Dmitriy Ivanov, Dds Dental Corp is 1619850088. It was assigned to this organization in the NPPES registry on July 31, 2025. The provider is doing business as Precision Periodontal and Implant Center Dental Corporation.

Q: What is Dmitriy Ivanov, Dds Dental Corp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since July 31, 2025

390 N PACIFIC COAST HWY STE 1070, EL SEGUNDO, CA 90245(310) 708-3938 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Dmitriy Ivanov, Dds Dental Corp NPPES

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

DMITRIY IVANOV, DDS DENTAL CORP (NPI 1619850088), doing business as Precision Periodontal And Implant Center Dental Corporation, is a healthcare organization registered as a periodontics in El Segundo, California and active in the NPI registry since July 2025. The organization lists Dmitriy V Ivanov, Owner, as its authorized official.

NPPES Registry Identity

NPI1619850088

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NameDMITRIY IVANOV, DDS DENTAL CORP

Location Address390 N PACIFIC COAST HWY STE 1070El Segundo, CA 90245-4483

Mailing Address2406 Mathews Ave Unit ARedondo Beach, CA 90278-5503 · (310) 926-8985

Phone(310) 708-3938

Organization SubpartNo

Authorized OfficialDmitriy V IvanovOwner · (310) 926-8985

Enumeration DateJuly 31, 2025

NPPES CertifiedJuly 30, 2025

✔ NPI 1619850088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

Definition

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.

390 N PACIFIC COAST HWY STE 1070, El Segundo, CA 90245

Open in Google Maps ↗

Other Names 1

Doing Business AsPrecision Periodontal And Implant Center Dental Corporation

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Dmitriy Ivanov, Dds Dental Corp's NPI number?

The NPI number for Dmitriy Ivanov, Dds Dental Corp is 1619850088. It was assigned to this organization in the NPPES registry on July 31, 2025. The provider is doing business as Precision Periodontal and Implant Center Dental Corporation.

Where is Dmitriy Ivanov, Dds Dental Corp located?

Dmitriy Ivanov, Dds Dental Corp is located at 390 N Pacific Coast Hwy Ste 1070, El Segundo, CA 90245. The listed phone number is (310) 708-3938.

What is Dmitriy Ivanov, Dds Dental Corp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Dmitriy Ivanov, Dds Dental Corp was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.