OrganizationActive
Your Bronx Dentist
NPI 1184107344 · General Practice Dentistry · Bronx, NY
Your Bronx Dentist is a General Practice Dentistry organization in Bronx, NY (NPI 1184107344).
Provider details
- NPI number
- 1184107344
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ebbie Boutehsaz, President(516) 455-6802
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3310 Bainbridge Ave
Bronx, NY 10467-2856
Phone: (718) 654-3456
Street-level locationGet directions
Mailing address
3310 Bainbridge Ave
Bronx, NY 10467-2856
Registry dates
- Enumerated
- 2018-09-12
- Last updated
- 2018-09-12
Frequently asked questions
- What is Your Bronx Dentist's NPI number?
- Your Bronx Dentist's National Provider Identifier (NPI) is 1184107344, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Your Bronx Dentist?
- Your Bronx Dentist is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Your Bronx Dentist located?
- Your Bronx Dentist's practice location on file with NPPES is 3310 Bainbridge Ave, Bronx, NY 10467-2856.
- What is Your Bronx Dentist's phone number?
- The practice phone number listed in the NPPES registry for Your Bronx Dentist is (718) 654-3456.
- Who is the authorized official for Your Bronx Dentist?
- The authorized official listed on Your Bronx Dentist's NPPES record is Ebbie Boutehsaz, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Your Bronx Dentist's NPI active?
- Yes — Your Bronx Dentist's NPI (1184107344) is active in the NPPES registry as of the last update on 2018-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.