Active NPI
Omar Dlewati, DDS
- Dentist
- Hazel Park, MI
National Provider Identifier
1437840469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2901601709
- Practice address
- 23528 John R Rd
Hazel Park, MI 48030-1409 - Phone
- (248) 397-1165
- NPI assigned
- May 19, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901601709 | MI | Primary |
Addresses
Primary practice location
23528 John R Rd
Hazel Park, MI 48030-1409
Mailing address
1903 Lincolnshire Dr
Rochester Hills, MI 48309-4534
Phone (810) 410-7144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901601709 | MI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Dental Alliance of Michigan, LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Hazel Park, MI
- NPI 1912389842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754784000000",
"number": "1437840469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 LINCOLNSHIRE DR",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483094534",
"telephone_number": "810-410-7144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23528 JOHN R RD",
"city": "HAZEL PARK",
"state": "MI",
"postal_code": "480301409",
"telephone_number": "248-397-1165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DLEWATI",
"first_name": "OMAR",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-19",
"last_updated": "2025-08-10",
"certification_date": "2025-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MI",
"license": "2901601709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazel Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.