Individual provider · NPI-1

Omar Almohtasib

Dentist, General Practice · Norfolk, VA

NPI number1437840634
StatusActive
Last updated in NPPESMay 19, 2025

Details

NPI
1437840634
Entity type
Individual (NPI-1)
Name
Omar Almohtasib
Sex
Male
Sole proprietor
Yes
Enumeration date
May 17, 2023
Certification date
May 19, 2025
Last updated
May 19, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice0401419312VAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

5900 E Virginia Beach Blvd
Norfolk, VA 23502-2530

Phone 757-978-2177

Mailing address

5900 E Virginia Beach Blvd
Norfolk, VA 23502-2530

Phone 757-978-2177

Other practice locations

500 Indiana Ave
Winslow, AZ 86047-2169

Phone 928-289-4646

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