Individual
OMAR ALBASHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5521 BELLAIRE DR S STE 210, FORT WORTH, TX 76109-5900
(817) 623-4047
Mailing address
5521 BELLAIRE DR S STE 210, FORT WORTH, TX 76109-5900
(551) 214-4133
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02761700
NJ
122300000X
Dentist
41305
TX
1223P0221X
Pediatric Dentistry
Primary
41305
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
07/16/2019
Last updated
08/03/2025
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