Abubaker, Abubaker Omar

Abubaker, Abubaker Omar is an individual health care provider with primary practice located at 520 N 12Th St , Richmond VA 23219-1610. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery is his primary health care specialty. Abubaker, Abubaker Omar can be contacted via phone (804) 828-4249.

Contact Information

Primary practice address
520 N 12Th St Richmond VA 23219-1610
Phone: (804) 828-4249
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 040100835 Virginia
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 0401008355 Virginia

Profile Details

NPI number 1639132749
LBN Legal business name Abubaker, Abubaker Omar
Credentials B.D.S. DMD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jul 25th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639132749 NPPES
Virginia MEDICAID 010036488

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