Organization Active NPI

Ibrahim Sayeed Dental, P.C.

Doing business as Walden Dental NY

  • Dental Clinic/Center
  • Walden, NY
National Provider Identifier
1073281655
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
IBRAHIM SAYEED DENTAL, P.C.
Doing business as
Walden Dental NY
Practice address
57 Main St Walden
Walden, NY 12586
Phone
(457) 134-8228
NPI assigned
Aug 31, 2021
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Victoria Russo
Title
Office Manager
Phone
(845) 713-4822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

57 Main St Walden
Walden, NY 12586

Mailing address

57 Main St Walden
Ground Floor
Walden, NY 12586
Phone (845) 713-4822

Other identifiers 1

IdentifierTypeStateIssuer
04930163MedicaidNY

Other names 1

  • Walden Dental NY Doing business as

National Provider Directory

National Provider Directory

Locations

57 Main St
Walden, NY 12586
Phone (845) 713-4822

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1073281655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 MAIN ST WALDEN",
            "address_2": "GROUND FLOOR",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "12586",
            "telephone_number": "845-713-4822",
            "fax_number": "845-762-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 MAIN ST WALDEN",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "12586",
            "telephone_number": "457-134-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBRAHIM SAYEED DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-713-4822",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04930163",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walden Dental NY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walden, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.