Elena Dmitrieva, DDS

General Practice Dentistry · Antelope, CA

Individual Active NPI

NPI number 1508611807

Practice location

8008 Walerga Rd Ste 100
Antelope, CA 95843-9003
Phone
(916) 725-4530

Open in Google Maps

NPI record

NPI
1508611807
Entity type
Individual (Type 1)
Enumeration date
April 19, 2024
Last updated
April 19, 2024
Certified
April 19, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 109859 CA

About Dr. Dmitrieva

Elena Dmitrieva, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 8008 Walerga Rd Ste 100, Antelope, CA 95843-9003. The NPI number 1508611807 was assigned on April 19, 2024 and the record was last updated on April 19, 2024.

Dr. Dmitrieva lists a license in the registry: #109859 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Elena Dmitrieva, DDS?

The NPI number is 1508611807.

What is the phone number of Dr. Dmitrieva?

The phone number listed for the practice location is (916) 725-4530.

Where is Dr. Dmitrieva located?

8008 Walerga Rd Ste 100, Antelope, CA 95843-9003.

What is the taxonomy code for Dr. Dmitrieva?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Antelope

All General Practice Dentistry providers in Antelope, CA →