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

Ethan Kimiabakhsh

Individual provider Dentist · NPI 1790461721

Ethan Kimiabakhsh is a Dentist in New York, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

345 E 24th St
New York, NY 10010-4020
Phone: (212) 998-9800
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 064831 (NY)

Record details

NPI number1790461721
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 26, 2023
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

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