Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508611807 Individual Practitioner Female Practitioner

Dr. Elena Dmitrieva , DDS

Dentist - General Practice • Antelope, CA

Professional Overview & Biography Verified Profile Summary

Dr. Elena Dmitrieva, DDS is a registered healthcare professional specializing in Dentist - General Practice in Antelope, CA. Practice services are available at 8008 WALERGA RD STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8008 Walerga Rd Ste 100

Antelope, CA 958439003

Telephone 9167254530
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Antelope, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
7 Specialists

Practicing in Antelope, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-04-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 109859

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Karol Langumas Gonzalez , DDS

Dentist - General Practice

NPI 1144159047

Doctor of Dental Surgery

Dr. Sze Wing Ng , DMD

Dentist - General Practice

NPI 1477247690

Doctor of Dental Medicine

Dr. Juan Trujillo Lopez , DDS

Dentist - General Practice

NPI 1578446555

Doctor of Dental Surgery

NPI 1669154472

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 19, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2024

Registered at 8008 WALERGA RD STE 100, ANTELOPE, CA 958439003 (Tel: 9167254530)

📍
Updated Business Mailing Address April 19, 2024

Registered at 8008 WALERGA RD STE 100, ANTELOPE, CA 958439003 (Tel: 9167254530)

👤
Provider Name / Credentials Updated April 19, 2024

Recorded as ELENA DMITRIEVA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2024

Dentist (License #109859 in CA)

🟢
Initial NPI Registration & Enumeration April 19, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508611807
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2024
Last Update: April 19, 2024
Sole Proprietor: No

Mailing Address

8008 Walerga Rd Ste 100

Antelope, CA 958439003

Phone: 9167254530

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.