Active NPIIndividual provider

Odai Abushanab, DMD

Dentist, Oral and Maxillofacial Surgery in Newark, New Jersey

NPI Number1053818302
Practice location
110 Bergen St, Newark, NJ 07103-2495
Fax
—
Last updated
June 4, 2024

Odai Abushanab is a Dentist, Oral and Maxillofacial Surgery based in Newark, NJ. Odai Abushanab practices in Newark, NJ and has the professional credentials of DMD. The NPI Number for Odai Abushanab is 1053818302 and holds a License No. 22DI02760901 (NJ). The current practice location address for Odai Abushanab is 110 Bergen St, Newark, NJ 07103-2495 and can be reached out via phone at 973-972-3126.

Provider Profile Details

NPI Number
1053818302
Provider Name
Odai Abushanab
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
110 Bergen St, Newark, NJ 07103-2495
Phone Number
973-972-3126
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
No
Provider Enumeration Date
April 11, 2018
Last Update Date
June 4, 2024
Certification Date
June 4, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Bergen St
Newark, NJ 07103-2495
City
Newark
Zip
07103-2495
Phone Number
973-972-3126
Newark, NJ 07103Get directions →

Provider Business Mailing Address Details

Address
82 Smithtown RD
Budd Lake, NJ 07828-1932
City
Budd Lake
State
NJ
Zip
07828-1932

License Information

License Number (2)
22DI02760901
License State (2)
NJ
Taxonomy (2)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dentist, Oral and Maxillofacial Surgery providers near Newark, NJ

View all Dentist, Oral and Maxillofacial Surgery providers in Newark →

Frequently Asked Questions

What is the NPI number of Odai Abushanab, DMD?

The NPI number of Odai Abushanab, DMD is 1053818302. It was assigned on April 11, 2018 and is currently active in the NPPES registry.

What is the specialty of Odai Abushanab, DMD?

Odai Abushanab, DMD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NJ under license number 22DI02760901.

Where does Odai Abushanab, DMD practice?

The practice location is 110 Bergen St, Newark, NJ 07103-2495. The office can be reached at 973-972-3126 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053818302 directly on the NPPES registry website.

Browse related providers