Omar Asfour, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

13177 Issued in CT

Practice address

495 Route 47 Ste J
Sugar Grove, IL 60554-8020

Phone

(856) 505-7301

NPI assigned

Jun 30, 2021

Sex

Male

Sole proprietor

No

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 CT

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

Practice roles

Locations

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

• All Smiles Dental Associates

  dba The Smile Hub of Sugar Grove

  • Dental Clinic/Center
  • Sugar Grove, IL
  • NPI 1871290726
  NPD Authorized official

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

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1427628585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1564 WIND ENERGY PASS",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605108929",
            "telephone_number": "856-505-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 ROUTE 47 STE J",
            "city": "SUGAR GROVE",
            "state": "IL",
            "postal_code": "605548020",
            "telephone_number": "856-505-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASFOUR",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-30",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "13177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Lynn Alexander, DC
• All Smiles Dental Associates (The Smile Hub of Sugar Grove)
• Allison Gajownik, PLLC
• American Drug Stores LLC (Osco Drug #3374)
• Mahalakshmi Andukuri
• Bridget Ashe, DPT
• Attentive Individualized Management Physical Therapy, LLC
• Denise L Bailey, PT
• Branden Bennett, DMD
• Beth L Plachetka, MSW, LCSW, P.C.

• Dentist in Sugar Grove, IL
• Providers in Sugar Grove, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.