Micheline Baz Elbahri, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12891 Issued in FL

Practice address

445 State Road 13 N Ste 22
Jacksonville, FL 32259-2821

Phone

(904) 640-1362

NPI assigned

Jul 10, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bahri Dental Group

  • Dentist
  • Jacksonville, FL
  • NPI 1841493186
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1669968905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12910 SHIREWOOD LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241655",
            "telephone_number": "904-994-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 STATE ROAD 13 N STE 22",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322592821",
            "telephone_number": "904-640-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELBAHRI",
        "first_name": "MICHELINE",
        "middle_name": "BAZ",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "12891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanna El-Yazigi, D.C
• Fady Elabbasy, MBBCH
• Dina Mahmoud Mustafa Elantably, MD
• Fatima Yahaya Elawad Elataya, MD
• Rawdah Elbahrawi, MD
• Moustafa Elbehairy, DDS
• Joshua S Elder, M.D.
• Michelle Boling Elder, ATC
• Stephanie J Elder, MD
• Amy Jo Eldred

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.