Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakhdar Bahous

Individual provider Dentist · NPI 1720976806

Lakhdar Bahous is a Dentist in Edgewater, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

2102 S Ridgewood Ave Ste 11
Edgewater, FL 32141-4240
Phone: (386) 423-3652
Fax: (386) 269-6161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN30303 (FL)

Record details

NPI number1720976806
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 26, 2025
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025
Mailing address2102 S Ridgewood Ave Ste 11, Edgewater, FL 32141-4240

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