Individual provider · Type 1 NPI

Omar Elbarrag I

General Practice Dentistry · Roxbury, MA

NPI number 1104780824 Active

Practice location

55 Dimock St
Roxbury, MA 02119-1029

Call (617) 442-8800 Map

Mailing address

9 Forbes St
Jamaica Plain, MA 02130-4858

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDL101270 (MA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1104780824

Omar Elbarrag I's National Provider Identifier is 1104780824, issued on Dec 16, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Roxbury, MA. The record was last updated on Dec 16, 2025.