Albasha, Omar

Albasha, Omar is an individual health care provider with primary practice located at 12165 Elm St , Princess Anne MD 21853-1358. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Albasha, Omar can be contacted via phone (410) 651-5151.

Contact Information

Primary practice address
12165 Elm St Princess Anne MD 21853-1358
Phone: (410) 651-5151
Fax: (410) 651-4256
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22DI02761700 New Jersey
Dental Providers / Pediatric Dentistry 1223P0221X 17967 Maryland

Profile Details

NPI number 1396397634
LBN Legal business name Albasha, Omar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2019
Last updated Jun 5th, 2023 - about 2 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 1396397634 NPPES
Maryland MEDICAID 119591300

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