Omar Arshad, D.M.D.
Individual provider Active NPI General Practice Dentistry · West Milwaukee, WI
NPI 1801183371 · NPPES record last updated Feb 26, 2020
Key facts
- NPI
- 1801183371
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6770-15 (WI)
- Practice address
- 2100 Miller Park Way
West Milwaukee, WI 53219-1641 - Phone
- (414) 645-4540
- NPI assigned
- Jul 6, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS038768 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Associates LTD of Wisconsin | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS038768 | PA | |
| General Practice Dentistry |
1223G0001X | 6770-15 | WI | Yes |
Addresses
Primary practice location
2100 Miller Park Way
West Milwaukee, WI 53219-1641
Mailing address
2100 Miller Park Way
West Milwaukee, WI 53219-1641
Phone (414) 645-4540
Other practice location 1
4200 N 8th St
Philadelphia, PA 19140-2213
Phone (215) 228-2545
Other providers in West Milwaukee, WI
- Altcare Health Services Inc
- Altcare Health Services Inc
- Altcare Health Services Inc
- Aurora Pharmacy Inc
- Bethani L Bachus
- Jasmine Monique Balderas
- Jessica Barker
- Debra Barkley
All providers in West Milwaukee, WI · General Practice Dentistry in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.