Omar L Ghoneim is a Dentist in Mattapan, Massachusetts. Omar L Ghoneim practices all healthcare services and medical treatments related to Dentist. The NPI Number for Omar L Ghoneim is 1588734297. The last update date is 2011-04-18.
Omar L Ghoneim's current location address is 1135 Morton Street, Mattapan, Massachusetts. You can contact this provider via phone number 6175332300 and fax number 6175332341. The mailing address for Omar L Ghoneim is 1135 Morton Street, Mattapan, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Omar L Ghoneim |
|---|---|
| Address | 1135 Morton Street, Mattapan, Massachusetts |
| Phone Number | 6175332300 |
| Fax Number | 6175332341 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1588734297 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2011-04-18 |
Provider Mailing Address Detail
| Address | 1135 Morton Street |
|---|---|
| City | Mattapan |
| State | Massachusetts (MA) |
| Post Code | 21262834 |
| Phone Number | 6175332300 |
| Fax Number | 6175332341 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19023860 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Omar L Ghoneim by the Centers for Medicare & Medicaid Services?
The Omar L Ghoneim has been issued the NPI (National Provider Identifier) 1588734297. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Omar L Ghoneim is physically located?
The Omar L Ghoneim is situated at the following address: 1135 Morton Street, Mattapan, MA 21262834.
What is Omar L Ghoneim's specialized field of practice, and what is the corresponding taxonomy classification code?
The Omar L Ghoneim's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Omar L Ghoneim receive its 1588734297 assignment from the Centers for Medicare & Medicaid Services?
The Omar L Ghoneim was assigned its 1588734297 by the Centers for Medicare & Medicaid Services on 2006-11-09.
When was the information regarding Omar L Ghoneim, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Omar L Ghoneim, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-04-18.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY