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

Individual provider General Practice Dentistry · NPI 1003999707

Jason V Kboudi, DDS is a General Practice Dentistry in Beverly Hills, California. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2006
Specialties on file
2
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

8641 Wilshire Blvd Ste 205
Beverly Hills, CA 90211-2920
Phone: (310) 626-1212
Fax: (310) 626-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 19485 (TX)
General Practice Dentistry Taxonomy 1223G0001X · Licence 13322 (TX)

Record details

NPI number1003999707
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 24, 2006
Last updated in NPPESJanuary 21, 2022
Certification dateJanuary 21, 2022
Mailing address8641 Wilshire Blvd Ste 205, Beverly Hills, CA 90211-2920

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