Provider Demographics
NPI:1194616292
Name:AHMED, FARHAN (DMD)
Entity type:Individual
Prefix:DR
First Name:FARHAN
Middle Name:
Last Name:AHMED
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 HARTRIDGE TER
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-3428
Mailing Address - Country:US
Mailing Address - Phone:954-895-1120
Mailing Address - Fax:
Practice Address - Street 1:2550 US HIGHWAY 441 S UNIT 200
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34974-5801
Practice Address - Country:US
Practice Address - Phone:863-600-8434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-15
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30802122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist