Healthcare Provider Details
I. General information
NPI: 1740129907
Provider Name (Legal Business Name): OMAR MUHAJER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
30 PROSPECT AVE
HACKENSACK NJ
07601-1915
US
IV. Provider business mailing address
253 GOFFLE HILL RD APT 2
HAWTHORNE NJ
07506-3238
US
V. Phone/Fax
- Phone: 551-996-3492
- Fax:
- Phone: 973-333-1509
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: