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

Leeda Bassam, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1750962056

Leeda Bassam, DDS is a Student in an Organized Health Care Education/Training Program in Bronx, New York. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2021
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

111 E 210th St
Bronx, NY 10467-2401
Phone: (888) 700-6623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 22DI02874300 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1750962056
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 19, 2021
Last updated in NPPESApril 19, 2022
Certification dateApril 19, 2022
Mailing address111 E 210th St, Bronx, NY 10467-2401

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