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

Individual provider Dentist · NPI 1891142055

Dr. Dmitriy Ivanov, DDS is a Dentist in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3140 Sawtelle Blvd Apt 305
Los Angeles, CA 90066-1468
Phone: (310) 926-8985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 64494 (CA)
Dentist Taxonomy 122300000X · Licence 64494 (CA)

Record details

NPI number1891142055
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 18, 2016
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025

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