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Active NPI 1912978008 Individual Practitioner Male Practitioner

Dr. Mohsen Sobhi Ebrahim , DMD

Dentist - General Practice • Saint Louis, MO

Professional Overview & Biography Verified Profile Summary

Dr. Mohsen Ebrahim, DMD is a registered healthcare professional specializing in Dentist - General Practice in Saint Louis, MO. Practice services are available at 12647 OLIVE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12647 Olive Blvd
Suite 600

Saint Louis, MO 631416345

Telephone 8003253982
Fax 8776859866
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Saint Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
270 Specialists

Practicing in Saint Louis, MO (2113 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN 15815

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Robert Vandeborne

Radiologic Technologist

NPI 1053864835
Denise Darden , NNP

Nurse Practitioner - Neonatal

NPI 1083684435
Audrey Hyland , CRNA

Registered Nurse

NPI 1093774002

Certified Registered Nurse Anesthetist

Mark Neuenschwander

Family Medicine

NPI 1093805251
Judith Karlmeier-Hamilton

Occupational Therapist

NPI 1093968455
Gregory Macdonald

Counselor - Addiction (Substance Use Disorder)

NPI 1104077296

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address July 08, 2007

Registered at 3739 EXUMA WAY, NAPLES, FL 341191620 (Tel: 2395913645)

📍
Updated Practice Location July 08, 2007

Registered at 12647 OLIVE BLVD, SUITE 600, SAINT LOUIS, MO 631416345 (Tel: 8003253982)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MOHSEN EBRAHIM, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DN 15815 in FL)

🟢
Initial NPI Registration & Enumeration January 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912978008
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

3739 Exuma Way

Naples, FL 341191620

Phone: 2395913645

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.