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Contact Information

OMAR H MOUSTAFA, BDS, MSC, MS, FRCDC
501 S PRESTON ST OFC 58
LOUISVILLE, KY40202-1701
 Phone: 614-886-7609
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthodontics

1223P0700X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for OMAR H MOUSTAFA · (Male)

NPI # 1740016088
Status Active
Credentials BDS, MSC, MS, FRCDC
Entity Individual
Enumeration date 09/12/2024
Last updated 09/13/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • KY License # 11169
  • KY License # 1214
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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