DMITRY VLADIMIR DOLGOV DMD
NPI 1629670419
Dentist - General Practice in Santa Monica, CA

Active since November 16, 2020
1304 15TH ST STE 209, SANTA MONICA, CA 90404(310) 395-1810 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 28, 2022, Nov 16, 2020 (2 updates tracked since 2020).

About Dmitry Vladimir Dolgov Dmd NPPES

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

DMITRY VLADIMIR DOLGOV DMD (NPI 1629670419) is an individual general practice provider in Santa Monica, California, licensed in California (105795) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1629670419
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDMITRY VLADIMIR DOLGOVCredential: DMD
Location Address1304 15TH ST STE 209Santa Monica, CA 90404-1811
Mailing Address463 S Rexford Dr Apt 302Beverly Hills, CA 90212-4750 · (614) 551-1990
Sole ProprietorYes
Enumeration DateNovember 16, 2020
Last NPPES UpdateNovember 28, 20222 updates tracked since enumeration
NPPES CertifiedNovember 28, 2022
NPI 1629670419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 105795
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.
1304 15TH ST STE 209, Santa Monica, CA 90404

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Dental)
1304 15TH ST STE 209
SANTA MONICA, CA 90404
Clinic/Center (Dental)
1304 15TH ST STE 209
SANTA MONICA, CA 90404
Dentist
1304 15TH ST STE 209
SANTA MONICA, CA 90404

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 Dmitry Dolgov's NPI number?

The NPI number for Dmitry Dolgov is 1629670419. It was assigned to this individual provider in the NPPES registry on November 16, 2020.

Where is Dmitry Dolgov located?

Dmitry Dolgov practices at 1304 15th St Ste 209, Santa Monica, CA 90404. The listed phone number is (310) 395-1810.

What is Dmitry Dolgov's specialty?

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

What insurance does Dmitry Dolgov accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Dmitry Dolgov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dmitry Dolgov was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.