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BOBAK BAKHSHOUDEH
NPI 1053756205
Dentist - Endodontics in New York, NY

Active since May 01, 2013
25 TUDOR CITY PL, APT 2122, NEW YORK, NY 10017(631) 880-2208 Get Directions Write a Review

NPPES record last updated: June 29, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bobak Bakhshoudeh NPPES

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

BOBAK BAKHSHOUDEH (NPI 1053756205) is an individual endodontics provider in New York, New York, licensed in New York (057492-1) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1053756205
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameBOBAK BAKHSHOUDEH
Location Address25 TUDOR CITY PL, APT 2122New York, NY 10017-6819
Mailing Address308 E 38th St Apt 6dNew York, NY 10016-9821 · (631) 880-2208
Phone(631) 880-2208
Sole ProprietorNo
Enumeration DateMay 1, 2013
Last NPPES UpdateJune 29, 2019
✔ NPI 1053756205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in NY · 057492-1
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Also ListedDentistTaxonomy 122300000X · License 057492-1 (NY)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
25 TUDOR CITY PL, New York, NY 10017
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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 Bobak Bakhshoudeh's NPI number?

The NPI number for Bobak Bakhshoudeh is 1053756205. It was assigned to this individual provider in the NPPES registry on May 1, 2013.

Where is Bobak Bakhshoudeh located?

Bobak Bakhshoudeh practices at 25 Tudor City Pl Apt 2122, New York, NY 10017. The listed phone number is (631) 880-2208.

What is Bobak Bakhshoudeh's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Bobak Bakhshoudeh accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Bobak Bakhshoudeh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bobak Bakhshoudeh was last updated on June 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.