Omar Albayati

Individual provider Active NPI General Practice Dentistry · Dekalb, IL

NPI 1083501100 · NPPES record last updated Jun 20, 2025

Key facts

NPI
1083501100
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
019.036144 (IL)
Practice address
2442 Sycamore Rd
Dekalb, IL 60115-2050
Phone
(815) 748-2666
NPI assigned
Jun 20, 2025
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
019.036144ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
James Skylar O'Brien, DDS, LLC Current
since Jun 23, 2025
Accepting new patients
Dekamore Dental P.C. General Practice Current
since Jun 23, 2025
Accepting new patients

Locations

2442 Sycamore Rd
DeKalb, IL 60115
Phone (815) 748-2666

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019.036144 IL Yes

Addresses

Primary practice location

2442 Sycamore Rd
Dekalb, IL 60115-2050

Mailing address

716 Versailles Pkwy
Oswego, IL 60543-6019
Phone (331) 425-2540

Other providers in Dekalb, IL

All providers in Dekalb, IL · General Practice Dentistry in Illinois

Sources for this page

Verify at the official NPI Registry.