Omar A Ali, DMD
Dentist, General Practice in Williamsburg, VA. Individual provider (NPI-1).
NPI number1023851920
StatusActive
Last updated in NPPESNov 13, 2025
Details
- NPI
- 1023851920
- Entity type
- Individual (NPI-1)
- Name
- Omar A Ali
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 17, 2024
- Certification date
- Nov 13, 2025
- Last updated
- Nov 13, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 0401419794 | VA | Yes |
Practice location
1130 Old Colony Ln Ste 100Williamsburg, VA 23185-3864
Phone 757-229-3052
Mailing address
1130 Old Colony Ln Ste 100Williamsburg, VA 23185-3864
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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