Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OMAR E ELBANHAWY, DDS, MS
ActiveOMAR E ELBANHAWY, DDS, MS is a Periodontology healthcare provider located in GROSSE POINTE, Michigan. NPI 1780994533 is currently active in the NPPES registry. Verify at CMS.
Periodontology · GROSSE POINTE, MI
Registration Details
- NPI Number
- 1780994533
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 14, 2010 (15.856852629776 yrs)
- Last Updated
- Jun 10, 2014
- Licenses
-
0401412910 (VA)2901021020 (MI)
Practice Information
- Address
-
561 WOODS LNGROSSE POINTE, MI, 482361160Browse MI providers · Browse ZIP 48236
- Phone
- 4109828440
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.