Provider Demographics
NPI:1659596831
Name:BEBAWI, AHMED E (DDS)
Entity Type:Individual
Prefix:DR
First Name:AHMED
Middle Name:E
Last Name:BEBAWI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5601 CORPORATE WAY
Mailing Address - Street 2:STE .107
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2025
Mailing Address - Country:US
Mailing Address - Phone:561-684-3303
Mailing Address - Fax:561-684-4634
Practice Address - Street 1:5601 CORPORATE WAY
Practice Address - Street 2:STE .107
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-2025
Practice Address - Country:US
Practice Address - Phone:561-684-3303
Practice Address - Fax:561-684-4634
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 85031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice