DR. OMAR L GHONEIM (NPI# 1588734297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588734297 |
| Entity Type | Individual |
| Full Name | DR. OMAR L GHONEIM |
| Credential | DDS |
| Practice Address |
250 Mount Vernon Street Dorchester MA 02125 |
| Mailing Address |
1135 Morton Street Mattapan MA 02126-2834 |
| Practice Telephone | 6172881140 |
| Practice Fax Number | 6172883910 |
| Mailing Telephone | 6175332300 |
| Mailing Fax Number | 6175332341 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2011-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 21879 | MA | Dental Providers |
| N | 122300000X | Dentist | 019023860 | IL | Dental Providers |
| Street Address |
250 MOUNT VERNON STREET |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922520840 | Aj Guerrero | Counselor | 6 Glen St. #3, Boston, MA 02125 | 2017-07-12 |
| 1982059218 | Ana Fernandez | Psychologist | University of Massachusetts, Boston, 100 William T. Morrissey Blvd, Boston, MA 02125 | 2016-04-23 |
| 1558725184 | Algecira Garcia-ortiz | Massage Therapist | 12 Judson St, Dorchester, MASSACHUSETTS 02125 | 2016-04-10 |
| 1508251414 | Sing Hong Ty | Registered Nurse | 415 Colombia Rd, Dorchester, MA 02125 | 2015-03-30 |
| 1972806750 | Joanne Pomales | Counselor | 18 Harbor Crest Court 102, Dorchester, MA 02125 | 2010-12-16 |
| 1386969335 | Kara Jillian Sheridan | Counselor | 58 Dorset St, Boston, MA 02125 | 2010-04-02 |
| 1750533956 | Wendy M. Jern | Physical Therapist | 21riley Rd #2, Hyde Park, MA 02125 | 2008-10-21 |
| 1174729743 | Payton Brandyberry | Counselor | 500 Columbia Rd, Mail Stop 415-05, Upham's Corner Health Center, Dorchester, MA 02125 | 2007-06-21 |
| 1699817247 | Dong Lan Corporation | Pharmacist | 1167 A Dorchester Ave, Dorchester, MA 02125 | 2007-02-12 |
| 1457490153 | Sarah L Merin | Social Worker | Upham's Corner Health Center, 500 Columbia Rd, Mailstop 415-05, Dorchester, MA 02125 | 2007-02-06 |
| Find all providers in zip 02125 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476243 | Trish Ha Dang | Dentist | 400 Savin Hill Ave Apt 7, Dorchester, MA 02125-3325 | 2020-08-07 |
| 1013258359 | Davis Square Dental Specialists | Dentist | 1792 Dorchester Ave, Dorchester, MA 02124-2533 | 2013-03-12 |
| 1255596797 | Thanh K Hong | Dentist | 1335 Dorchester Ave, Dorchester, MA 02122-2932 | 2008-07-24 |
| 1770610891 | Seema Z Jacob | Dentist | 614 B, Blue Hill Ave, Suite B, Dorchester, MA 02121 | 2007-02-27 |
| 1598839086 | Nhung Thi Tran Dmd PC | Dentist | 850 Dorchester Ave, Dorchester, MA 02125-1133 | 2006-11-17 |
| 1881763431 | Maurice Zylber | Dentist | 97 Neponset Ave, Dorchester, MA 02122 | 2006-11-07 |
| 1619070265 | Keith Desmond Morris | Dentist | 56 Melville Ave, Ste 1, Dorchester, MA 02124 | 2006-09-07 |
| 1174530844 | Patrick Lloyd Smith | Dentist | 172 Ashmont St, Dorchester, MA 02124-3745 | 2006-08-02 |
| 1336634526 | Stephen Cronk | Dentist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-06-29 |
| 1942795265 | Yuliya Mulyar | Dentist | 653 Columbia Rd, Dorchester, MA 02125-1712 | 2018-06-28 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02125 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.