OrganizationActive
Dmitriy Ivanov, DDS Dental Corp
NPI 1619850088 · Periodontics · El Segundo, CA
Dmitriy Ivanov, DDS Dental Corp is a Periodontics organization in El Segundo, CA (NPI 1619850088).
Provider details
- NPI number
- 1619850088
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Dmitriy Ivanov, Owner(310) 926-8985
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
390 N Pacific Coast Hwy Ste 1070
El Segundo, CA 90245-4483
Phone: (310) 708-3938
Approximate (ZIP-level) locationGet directions
Mailing address
2406 Mathews Ave Unit a
Redondo Beach, CA 90278-5503
Other names (DBA / former)
- Doing business as
- Precision Periodontal and Implant Center Dental Corporation
Registry dates
- Enumerated
- 2025-07-31
- Last updated
- 2025-07-31
- Certified
- 2025-07-30
Frequently asked questions
- What is Dmitriy Ivanov, DDS Dental Corp's NPI number?
- Dmitriy Ivanov, DDS Dental Corp's National Provider Identifier (NPI) is 1619850088, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dmitriy Ivanov, DDS Dental Corp?
- Dmitriy Ivanov, DDS Dental Corp is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Dmitriy Ivanov, DDS Dental Corp located?
- Dmitriy Ivanov, DDS Dental Corp's practice location on file with NPPES is 390 N Pacific Coast Hwy Ste 1070, El Segundo, CA 90245-4483.
- What is Dmitriy Ivanov, DDS Dental Corp's phone number?
- The practice phone number listed in the NPPES registry for Dmitriy Ivanov, DDS Dental Corp is (310) 708-3938.
- Who is the authorized official for Dmitriy Ivanov, DDS Dental Corp?
- The authorized official listed on Dmitriy Ivanov, DDS Dental Corp's NPPES record is Dmitriy Ivanov, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dmitriy Ivanov, DDS Dental Corp's NPI active?
- Yes — Dmitriy Ivanov, DDS Dental Corp's NPI (1619850088) is active in the NPPES registry as of the last update on 2025-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.