Individual provider · Type 1 NPI
Omar E. Elbanhawy, DDS, MS
Periodontics · Grosse Pointe, MI
NPI number
1780994533
Active
Practice location
561 Woods Ln
Grosse Pointe, MI 48236-1160
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics | 1223P0300X | 0401412910 (VA) |
| Periodontics Primary | 1223P0300X | 2901021020 (MI) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1780994533
Omar E. Elbanhawy, DDS, MS's National Provider Identifier is 1780994533, issued on Oct 14, 2010. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Grosse Pointe, MI. The record was last updated on Jun 10, 2014.