National Provider Identifier

Omar Y Mirza, DMD

Omar Y Mirza, DMD is listed in the NPPES registry with a primary specialty of Dentist in Buffalo, NY and a listed phone number of (716) 845-1067.

NPI 1003256140Buffalo, NYDentist

Profile Overview

NPI
1003256140
Provider Type
Individual
Primary Specialty
Dentist
Enumeration Date
July 03, 2013
Last Updated
August 09, 2018

Practice Location

  • Elm And Carlton St
  • Buffalo, NY 14263

Phone: (716) 845-1067

Mailing Address

  • Elm And Carlton St
  • Buffalo, NY 14263-3039

Specialties

  • Dentist (122300000X)
Full Record
NPI
1003256140
Entity Type
Individual
Last Name
Mirza
First Name
Omar
Middle Name
Y
Name Prefix
Dr.
Credential
DMD
Mailing Street Address
Elm And Carlton St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14263-3039
Mailing Country
US
Mailing Phone
(716) 845-1067
Practice Street Address
Elm And Carlton St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14263
Practice Country
US
Practice Phone
(716) 845-1067
Enumeration Date
July 03, 2013
Last Updated
August 09, 2018
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dentist (122300000X)