Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Waise Ebrahimi DDS PC

Organization General Practice Dentistry · NPI 1871181826

Waise Ebrahimi DDS PC provides General Practice Dentistry in New York, New York. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

841 Broadway
New York, NY 10003-4704
Phone: (332) 237-6453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 632 Broadway Ste D, New York, NY 10012-2614 — (925) 548-7869

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1871181826
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Waise Ebrahimi — President · (925) 548-7869
Other names Smile Lab; Smile Lab
NPI enumeratedJanuary 5, 2021
Last updated in NPPESJuly 5, 2023
Certification dateJuly 5, 2023
Mailing address841 Broadway, New York, NY 10003-4704

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