Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gide Dental Implant Center

Organization General Practice Dentistry · NPI 1477411254

Gide Dental Implant Center is a General Practice Dentistry in Los Angeles, California. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2

Practice location Address checks out

12217 W Pico Blvd
Los Angeles, CA 90064-1134
Phone: (310) 820-9641
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Periodontics Taxonomy 1223P0300X

Record details

NPI number1477411254
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aleksandar Jovanovic — Doctor · (310) 820-9641
NPI enumeratedJanuary 12, 2026
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026
Mailing address12217 W Pico Blvd, Los Angeles, CA 90064-1134

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