NPI 1699470385 · live from the CMS NPI Registry
Omar Sami Aasar
Dentist, General Practice in Fort Wayne, IN. National Provider Identifier 1699470385, active.
NPI record
| NPI | 1699470385 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 2828 E State Blvd Ste A, Fort Wayne, IN 46805 |
| Practice phone | 260-788-0263 |
| Mailing address | 2819 Padova Ct, League City, TX 77573 |
| Enumerated | April 3, 2023 |
| Last updated | June 2, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | 12014118A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.