LAKHDAR BAHOUS
NPI 1720976806
Dentist in Edgewater, FL

Active since June 26, 2025
2102 S RIDGEWOOD AVE STE 11, EDGEWATER, FL 32141(386) 423-3652(386) 269-6161 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakhdar Bahous NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKHDAR BAHOUS (NPI 1720976806) is an individual dentist in Edgewater, Florida, licensed in Florida (DN30303) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1720976806
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameLAKHDAR BAHOUS
Location Address2102 S RIDGEWOOD AVE STE 11Edgewater, FL 32141-4240
Mailing Address2102 S Ridgewood Ave Ste 11Edgewater, FL 32141-4240 · (386) 423-3652
Fax(386) 269-6161
Sole ProprietorYes
Enumeration DateJune 26, 2025
NPPES CertifiedJune 26, 2025
NPI 1720976806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in FL · DN30303
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2102 S RIDGEWOOD AVE STE 11, Edgewater, FL 32141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakhdar Bahous's NPI number?

The NPI number for Lakhdar Bahous is 1720976806. It was assigned to this individual provider in the NPPES registry on June 26, 2025.

Where is Lakhdar Bahous located?

Lakhdar Bahous practices at 2102 S Ridgewood Ave Ste 11, Edgewater, FL 32141. The listed phone number is (386) 423-3652.

What is Lakhdar Bahous's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Lakhdar Bahous was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.