Individual provider · Type 1 NPI
Athena Kabouris, DMD
Pediatric Dentistry · Suffern, NY
NPI number
1821554510
Active
Practice location
29 N Airmont Rd Ste 202
Suffern, NY 10901-4221
Mailing address
1824 Madison Ave
New York, NY 10035-3832
Other practice locations
- 1824 Madison Ave, New York, NY 10035-3832 · (212) 423-4400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Dentistry Primary | 1223P0221X | 061547-01 (NY) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Other pediatric dentistry providers in Suffern
About NPI 1821554510
Athena Kabouris, DMD's National Provider Identifier is 1821554510, issued on Feb 18, 2019. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Suffern, NY. The record was last updated on May 8, 2025.