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

Ebbie Boutehsaz

Individual provider General Practice Dentistry · NPI 1568869501

Ebbie Boutehsaz is a General Practice Dentistry in Bronx, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2014

Practice location Address checks out

3310 Bainbridge Ave
Bronx, NY 10467
Phone: (718) 654-3456
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 760 Broadway, Brooklyn, NY 11206-5317 — (718) 963-8308

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 058225-1 (NY)

Record details

NPI number1568869501
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 19, 2014
Last updated in NPPESNovember 14, 2018
Mailing address3310 Bainbridge Ave, Bronx, NY 10467-2856

Other providers in Bronx