Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bobak Bakhshoudeh

Individual provider Dentist · NPI 1053756205

Bobak Bakhshoudeh is a Dentist in New York, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
Specialties on file
3
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Practice location Address checks out

25 Tudor City Pl Apt 2122
New York, NY 10017-6819
Phone: (631) 880-2208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 057492-1 (NY)
Dentist Taxonomy 122300000X · Licence 057492-1 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1053756205
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 1, 2013
Last updated in NPPESJune 29, 2019

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