Omar Hamdy Abdelwahab, DDS
Individual provider Active NPI Dentist · West Springfield, VA
NPI 1922844802 · NPPES record last updated Sep 26, 2024
Key facts
- NPI
- 1922844802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 18152 (MD)
- Practice address
- 6116 Rolling Rd Ste 316
West Springfield, VA 22152-1512 - Phone
- (703) 451-8332
- NPI assigned
- Jul 1, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18152 | MD | MD | Dentist |
| 0401419074 | VA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401419074 | VA | |
| Dentist | 122300000X | 18152 | MD | Yes |
Addresses
Primary practice location
6116 Rolling Rd Ste 316
West Springfield, VA 22152-1512
Mailing address
9339 Breamore CT
Laurel, MD 20723-5984
Other providers in West Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2024. 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.