Omar Albasha, | |
12165 Elm St, Princess Anne, MD 21853-1358 | |
(410) 651-5151 | |
(410) 651-4256 |
Full Name | Omar Albasha |
---|---|
Gender | Male |
Speciality | Dentist - Pediatric Dentistry |
Location | 12165 Elm St, Princess Anne, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396397634 | NPI | - | NPPES |
119591300 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 22DI02761700 (New Jersey) | Secondary |
1223P0221X | Dentist - Pediatric Dentistry | 17967 (Maryland) | Primary |
Mailing Address | Practice Location Address |
---|---|
Omar Albasha, 215 Hoover Way, Woodbridge, NJ 07095-1044 Ph: (201) 519-7399 | Omar Albasha, 12165 Elm St, Princess Anne, MD 21853-1358 Ph: (410) 651-5151 |
Stephen Thomas Wagner, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12137 Elm St, Princess Anne, MD 21853 Phone: 410-651-5151 Fax: 410-651-4256 | |
Dr. Robert Mark Schulz, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12165 Elm St, Princess Anne, MD 21853 Phone: 410-651-5151 Fax: 410-651-4256 | |
Dr. Celeste Marie Ziara, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12165 Elm St, Princess Anne, MD 21853 Phone: 410-651-5151 Fax: 410-651-4256 | |
Dr. Grace Eunheh Kim, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12165 Elm St, Princess Anne, MD 21853 Phone: 410-651-5151 Fax: 410-651-4256 | |
Dr. Ariel Karyn Snell, DMD Dentist Medicare: Medicare Enrolled Practice Location: 12165 Elm St, Princess Anne, MD 21853 Phone: 410-651-5151 Fax: 410-651-4256 | |
Dr. Reeves Varghese Manikat, DMD Dentist Medicare: Medicare Enrolled Practice Location: 12165 Elm St, Princess Anne, MD 21853 Phone: 410-651-5151 Fax: 410-651-4256 | |
Dr. Trent Johnson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 12165 Elm St, Princess Anne, MD 21853 Phone: 410-651-5151 Fax: 410-651-4256 |