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

Dr. Waise Omid Ebrahimi, DDS

Individual provider Dentist · NPI 1649622945

Dr. Waise Omid Ebrahimi, DDS is a Dentist in New York, New York. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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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.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 100317 (CA)

Record details

NPI number1649622945
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 11, 2016
Last updated in NPPESJuly 5, 2023
Certification dateJuly 5, 2023

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