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EBBIE BOUTEHSAZ
NPI 1568869501
Dentist - General Practice in Bronx, NY

Active since November 19, 2014
3310 BAINBRIDGE AVE, BRONX, NY 10467(718) 654-3456 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ebbie Boutehsaz NPPES

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

EBBIE BOUTEHSAZ (NPI 1568869501) is an individual general practice provider in Bronx, New York, licensed in New York (058225-1) and active in the NPI registry since November 2014. He maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1568869501
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameEBBIE BOUTEHSAZ
Location Address3310 BAINBRIDGE AVEBronx, NY 10467
Mailing Address3310 Bainbridge AveBronx, NY 10467-2856 · (718) 654-3456
Phone(718) 654-3456
Sole ProprietorNo
Enumeration DateNovember 19, 2014
Last NPPES UpdateNovember 14, 2018
✔ NPI 1568869501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 058225-1
Definition
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.
3310 BAINBRIDGE AVE, Bronx, NY 10467
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Secondary Practice Location 1

Location 1760 Broadway, Room 2C-320Brooklyn, NY 11206-5317 · Phone (718) 963-8308

Accepted Insurance

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

Other Providers at the Same Location NPPES 4

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

YOUR BRONX DENTIST
Dentist (General Practice)
3310 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 654-3456
EILEEN CHENG WANG
Dentist (General Practice)
3310 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 654-3456
DR. ALAN BRUCE SPECTOR D.M.D.
Dentist (General Practice)
3310 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 654-3456
MS. BIBEKA BHATTARAI KOIRALA DMD
Dentist (General Practice)
3310 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 654-3456

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 Ebbie Boutehsaz's NPI number?

The NPI number for Ebbie Boutehsaz is 1568869501. It was assigned to this individual provider in the NPPES registry on November 19, 2014.

Where is Ebbie Boutehsaz located?

Ebbie Boutehsaz practices at 3310 Bainbridge Ave, Bronx, NY 10467. The listed phone number is (718) 654-3456.

What is Ebbie Boutehsaz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Ebbie Boutehsaz accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Ebbie Boutehsaz 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 Ebbie Boutehsaz was last updated on November 14, 2018. 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.