Active NPIIndividual provider

Omar Elbarrag I

Dentist, General Practice in Roxbury, Massachusetts

NPI Number1104780824
Practice location
55 Dimock St, Roxbury, MA 02119-1029
Fax
—
Last updated
December 16, 2025

Omar Elbarrag is a Dentist, General Practice based in Roxbury, MA. Omar Elbarrag practices in Roxbury, MA. The NPI Number for Omar Elbarrag is 1104780824 and holds a License No. DL101270 (MA). The current practice location address for Omar Elbarrag is 55 Dimock St, Roxbury, MA 02119-1029 and can be reached out via phone at 617-442-8800.

Provider Profile Details

NPI Number
1104780824
Provider Name
Omar Elbarrag
Provider Entity Type
Individual
Gender
Male
Address
55 Dimock St, Roxbury, MA 02119-1029
Phone Number
617-442-8800
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
December 16, 2025
Last Update Date
December 16, 2025
Certification Date
December 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Dimock St
Roxbury, MA 02119-1029
Zip
02119-1029
Phone Number
617-442-8800
Roxbury, MA 02119Get directions →

Provider Business Mailing Address Details

Address
9 Forbes St
Jamaica Plain, MA 02130-4858
City
Jamaica Plain
State
MA
Zip
02130-4858

License Information

License Number
DL101270
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Omar Elbarrag I?

The NPI number of Omar Elbarrag I is 1104780824. It was assigned on December 16, 2025 and is currently active in the NPPES registry.

What is the specialty of Omar Elbarrag I?

Omar Elbarrag I is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DL101270.

Where does Omar Elbarrag I practice?

The practice location is 55 Dimock St, Roxbury, MA 02119-1029. The office can be reached at 617-442-8800 (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 1104780824 directly on the NPPES registry website.

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