Mohsen Sobhi Ebrahim, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 15815 Issued in FL

Practice address

12647 Olive Blvd
Suite 600
Saint Louis, MO 63141-6345

Phone

(800) 325-3982

Fax

(877) 685-9866

NPI assigned

Jan 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Collier Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Immokalee, FL
  • NPI 1609827211
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912978008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3739 EXUMA WAY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341191620",
            "telephone_number": "239-591-3645",
            "fax_number": "239-591-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12647 OLIVE BLVD",
            "address_2": "SUITE 600",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416345",
            "telephone_number": "800-325-3982",
            "fax_number": "877-685-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBRAHIM",
        "first_name": "MOHSEN",
        "middle_name": "SOBHI",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 15815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan A Ebert, CRNA
• Jamison Ebert, AGNP
• David Patrick Ebertz, MD
• Ebg Health Care I, Inc.
• Ebg Health Care II, Inc.
• Brendan Thomas Eby, MD
• Charles S Eby, MD
• Jason Eccker, LCSW
• Mara Ada Eccles, MD
• Jacquelyn Echoles

• General Practice Dentistry in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.