Individual provider · Type 1 NPI

Omar Albasha

Pediatric Dentistry · Fort Worth, TX

NPI number 1396397634 Active

Practice location

5521 Bellaire Dr S Ste 210
Fort Worth, TX 76109-5900

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X41305 (TX)
Dentist 122300000X22DI02761700 (NJ)
Pediatric Dentistry Primary 1223P0221X41305 (TX)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1396397634

Omar Albasha's National Provider Identifier is 1396397634, issued on Jul 16, 2019. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 3, 2025.