Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720976806 Individual Practitioner Male Practitioner

Lakhdar Bahous

Dentist • Edgewater, FL

Professional Overview & Biography Verified Profile Summary

Lakhdar Bahous is a registered healthcare professional specializing in Dentist in Edgewater, FL. Practice services are available at 2102 S RIDGEWOOD AVE STE 11 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2102 S Ridgewood Ave Ste 11

Edgewater, FL 321414240

Telephone 3864233652
Fax 3862696161
Associated Practice Facility / Clinic
🏢 Tuscawilla Dental Llc Facility NPI 1598930646

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Edgewater, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Edgewater, FL (6414 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

CMS Verified: 2025-06-26
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN30303

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 26, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 26, 2025

Registered at 2102 S RIDGEWOOD AVE STE 11, EDGEWATER, FL 321414240 (Tel: 3864233652)

📍
Updated Business Mailing Address June 26, 2025

Registered at 2102 S RIDGEWOOD AVE STE 11, EDGEWATER, FL 321414240 (Tel: 3864233652)

👤
Provider Name / Credentials Updated June 26, 2025

Recorded as LAKHDAR BAHOUS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2025

Dentist (License #DN30303 in FL)

🟢
Initial NPI Registration & Enumeration June 26, 2025

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: 1720976806
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2025
Last Update: June 26, 2025
Sole Proprietor: Yes

Mailing Address

2102 S Ridgewood Ave Ste 11

Edgewater, FL 321414240

Phone: 3864233652

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.