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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821554510

Dr. Athena Kabouris, DMD is a Student in an Organized Health Care Education/Training Program in Suffern, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2019
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

29 N Airmont Rd Ste 202
Suffern, NY 10901-4221
Phone: (845) 369-3703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1824 Madison Ave, New York, NY 10035-3832 — (212) 423-4400

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 061547-01 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1821554510
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedFebruary 18, 2019
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025

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