1. Home
  2. Directory
  3. Pennsylvania
  4. Blue Bell
  5. Dentist
  6. NPI Profile

DR. POUYA HATAM-EBRAHIMI D.M.D.
NPI 1043498306
Dentist - Periodontics in Blue Bell, PA

Active since February 08, 2008
676 DEKALB PIKE, SUITE #207, BLUE BELL, PA 19422(610) 272-4482(610) 272-4484 Get Directions Write a Review

NPPES record last updated: February 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Pouya Hatam-ebrahimi D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. POUYA HATAM-EBRAHIMI D.M.D. (NPI 1043498306) is an individual periodontics provider in Blue Bell, Pennsylvania, licensed in Pennsylvania (DS-029503-L) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1043498306
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. POUYA HATAM-EBRAHIMICredential: D.M.D.
Location Address676 DEKALB PIKE, SUITE #207Blue Bell, PA 19422-1223
Mailing Address676 Dekalb Pike, Suite #207Blue Bell, PA 19422-1223 · (610) 272-4482 · Fax (610) 272-4484
Phone(610) 272-4482
Fax(610) 272-4484
Sole ProprietorYes
Enumeration DateFebruary 8, 2008
✔ NPI 1043498306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in PA · DS-029503-L
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
676 DEKALB PIKE, Blue Bell, PA 19422
Open in Google Maps ↗

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SCOTT HOWARD FREDD M.D.
Internal Medicine (Cardiovascular Disease)
676 DEKALB PIKE, SUITE 106
BLUE BELL, PA 19422
Montgomery County (610) 279-7696
MRS. KAMALA N BONGIORNO MPT
Physical Therapist
676 DEKALB PIKE, STE 105-106
BLUE BELL, PA 19422
Montgomery County (610) 270-0300
WENDY HAFNER PT
Physical Therapist (Orthopedic)
676 DEKALB PIKE, SUITE 105
BLUE BELL, PA 19422
Montgomery County (610) 270-0300
MRS. LISA A WASHABAUGH PT
Physical Therapist
676 DEKALB PIKE, SUITE 105
BLUE BELL, PA 19422
Montgomery County (610) 270-0300
LEE KONECKE MD
Internal Medicine (Cardiovascular Disease)
676 DEKALB PIKE, STE 101
BLUE BELL, PA 19422
Montgomery County (610) 279-7696
APEX PHYSICAL THERAPY, LLC
Physical Therapist
676 DEKALB PIKE, STE 105-106
BLUE BELL, PA 19422
Montgomery County (610) 270-0300
APEX PRACTICE MANAGEMENT, LLC
Physical Therapist
676 DEKALB PIKE, SUITE 205
BLUE BELL, PA 19422
Montgomery County (610) 270-0370
PHILIP R GOLDSTEIN MD
Internal Medicine (Interventional Cardiology)
676 DEKALB PIKE, SUITE 106
BLUE BELL, PA 19422
Montgomery County (610) 279-7696

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pouya Hatam-ebrahimi's NPI number?

The NPI number for Pouya Hatam-ebrahimi is 1043498306. It was assigned to this individual provider in the NPPES registry on February 8, 2008.

Where is Pouya Hatam-ebrahimi located?

Pouya Hatam-ebrahimi practices at 676 Dekalb Pike Suite #207, Blue Bell, PA 19422. The listed phone number is (610) 272-4482.

What is Pouya Hatam-ebrahimi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Pouya Hatam-ebrahimi was last updated on February 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.