DR. OMAR GUSTAVO DE OLIVEIRA (NPI# 1952582827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952582827 |
| Entity Type | Individual |
| Full Name | DR. OMAR GUSTAVO DE OLIVEIRA |
| Credential | DDS |
| Practice Address |
11110 Medical Campus Rd Ste 148 Hagerstown MD 21742-6755 |
| Practice Telephone | 2403139660 |
| Practice Fax Number | 2403139661 |
| Mailing Telephone | 2403139660 |
| Mailing Fax Number | 2403139661 |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 14269 | MD | Dental Providers |
| Street Address |
11110 MEDICAL CAMPUS RD STE 148 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-6755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568871655 | Anika Rajkumar Vellore | Dentist | 11110 Medical Campus Rd Ste 148, Hagerstown, MD 21742-6755 | 2014-08-04 |
| 1316118870 | Virgil Van Oliver Erlandson | Dentist | 11110 Medical Campus Rd Ste 148, Hagerstown, MD 21742-6755 | 2008-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| 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 |
|---|---|---|---|---|
| 1518338037 | Sajid Baqai | Dentist | 18077 Garland Groh Boulevard, Acadia Dental & Dentures, Hagerstown, MD 21740 | 2015-10-09 |
| 1942649454 | Zaid Al Anbaki | Dentist | 1730 Massey Blvd, Hagerstown, MD 21740-6973 | 2013-06-18 |
| 1538398797 | Hagertown Dental Center | Dentist | 301 E Antietam St, Hagerstown, MD 21740-2608 | 2009-07-09 |
| 1558598896 | Acadia Dental Management, LLC | Dentist | 18077 Garland Groh Blvd, Hagerstown, MD 21740-2064 | 2009-06-13 |
| 1417183658 | Hillary S Wade | Dentist | 1855 Howell Rd, Hagerstown, MD 21740-6640 | 2009-06-02 |
| 1255581534 | Gary Allan Williamson | Dentist | 23 S Cannon Ave, Hagerstown, MD 21740-5705 | 2008-09-24 |
| 1568620284 | Trumer J Wagner Dds Pa | Dentist | 322 N Potomac St, Hagerstown, MD 21740-3843 | 2008-05-29 |
| 1467631119 | Jeffrey Pearlman | Dentist | 18638 Crestwood Drive, Hagerstown, MD 21742 | 2007-10-30 |
| 1285831768 | William P. Cornils Dds,pc | Dentist | 449 E Main St, Hagerstown, IN 47346-1331 | 2007-06-28 |
| 1588797716 | Jeffrey Jay Rubino | Dentist | 19414a Leitersburg Pike, Hagerstown, MD 21742 | 2007-03-14 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
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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.