Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225411069 Individual Practitioner Male Practitioner

Ahmed Taha

Dentist • Palm Bay, FL

Professional Overview & Biography Verified Profile Summary

Ahmed Taha is a registered healthcare professional specializing in Dentist in Palm Bay, FL. Practice services are available at 6050 BABCOCK ST SE STE 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6050 Babcock St Se Ste 2

Palm Bay, FL 329094203

Telephone 3217259946
Associated Practice Facility / Clinic
🏢 Assaf, Inc Facility NPI 1770827834

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Palm Bay, FL

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

Practicing in Palm Bay, 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: 2024-04-16
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN21380

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
111814100 (FL)

Secondary Practice Locations

1325 Pine St Ste 103

Melbourne, FL 329013189

Phone: 3217244520

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1073137303
Dr. Eli White , DDS

Dentist - Pediatric Dentistry

NPI 1447391321

Doctor of Dental Surgery

NPI 1518048065

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location April 16, 2024

Registered at 6050 BABCOCK ST SE STE 2, PALM BAY, FL 329094203 (Tel: 3217259946)

📍
Updated Business Mailing Address April 16, 2024

Registered at 2117 DEERCROFT DR, MELBOURNE, FL 329406349 (Tel: 3213550482)

📍
Updated Practice Location April 05, 2019

Registered at 145 PALM BAY RD NE STE 104, WEST MELBOURNE, FL 329048601 (Tel: 3217288053)

NPI Profile Active June 29, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2015

Registered at 2488 CORDOBA BND, WESTON, FL 333272234 (Tel: 3213550482)

📍
Updated Business Mailing Address June 29, 2015

Registered at 2488 CORDOBA BND, WESTON, FL 333272234 (Tel: 3213550482)

👤
Provider Name / Credentials Updated June 29, 2015

Recorded as AHMED TAHA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2015

Dentist (License #DN21380 in FL)

🟢
Initial NPI Registration & Enumeration June 29, 2015

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: 1225411069
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2015
Last Update: April 16, 2024
Sole Proprietor: Yes

Mailing Address

2117 Deercroft Dr

Melbourne, FL 329406349

Phone: 3213550482

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.