Healthcare Provider Details

I. General information

NPI: 1033053236
Provider Name (Legal Business Name): DENTAL DYNAMICS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2528 S GRAND AVE 543
LOS ANGELES CA
90007-3694
US

IV. Provider business mailing address

2528 S GRAND AVE APT 543
LOS ANGELES CA
90007-3694
US

V. Phone/Fax

Practice location:
  • Phone: 424-259-1551
  • Fax:
Mailing address:
  • Phone: 424-259-1551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. SACHIN P PATEL
Title or Position: CEO
Credential: DDS, MSL
Phone: 310-435-3324