Healthcare Provider Details

I. General information

NPI: 1750296893
Provider Name (Legal Business Name): OMER AKMAL DDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10020 DUPONT CIRCLE CT STE 110
FORT WAYNE IN
46825-1621
US

IV. Provider business mailing address

3321 TREVISO CV
FORT WAYNE IN
46814-8242
US

V. Phone/Fax

Practice location:
  • Phone: 202-277-6444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. OMER AKMAL
Title or Position: OWNER
Credential: DDS
Phone: 202-277-6444