Omar Gabr, DDS, MS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

0401419413 Issued in VA

Practice address

3400 Haydenpark LN Ste 203
Henrico, VA 23233-7867

Phone

(804) 390-7018

NPI assigned

Sep 2, 2015

Last updated

Jul 1, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1235507559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 DARRE HALL CT",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230598044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 HAYDENPARK LN STE 203",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232337867",
            "telephone_number": "804-390-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABR",
        "first_name": "OMAR",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-02",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "VA",
            "license": "0401419413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica P Fuller, PA
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• Maddison Layne Furman, DR.
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• Megan Gallear
• Christine Marie Galli, LPC
• Gap Counseling, LLC
• Maria V Garcia Taranto
• Kenneth Ashley Garland

• Endodontics in Henrico, VA
• Providers in Henrico, VA by specialty
• Endodontics in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.