BOBAK BAKHSHOUDEH NPI 1053756205

NPI Information

NPI: 1053756205
Provider Name: BOBAK BAKHSHOUDEH
Classification: Dentist - 1223E0200X
Entity Type: Individual

Specialization: Endodontics

Address:
25 TUDOR CITY PL
APT 2122
NEW YORK, NY
ZIP 10017
Phone: (631) 880-2208
Get Directions

Bobak Bakhshoudeh is an endodontics dentist in New York, NY. The provider is 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. Bobak Bakhshoudeh NPI is 1053756205. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

25 TUDOR CITY PL
APT 2122
NEW YORK, NY
ZIP 10017-819
Phone: (631) 880-2208

The enumeration date for this NPI number is 5/1/2013 and was last updated on 6/29/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		057492-1	NEW YORK	No
2	390200000X	Student in an Organized Health Care Education/Training Program			NEW YORK	No
3	1223E0200X	Dentist	Endodontics	057492-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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