Provider Demographics
NPI:1023334299
Name:ARMSTRONG, OMAR KARIM (MS, DDS)
Entity type:Individual
Prefix:DR
First Name:OMAR
Middle Name:KARIM
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:MS, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 RIVER DR
Mailing Address - Street 2:1508
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07310-2058
Mailing Address - Country:US
Mailing Address - Phone:631-764-1303
Mailing Address - Fax:
Practice Address - Street 1:110 RIVER DR
Practice Address - Street 2:1508
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07310-2058
Practice Address - Country:US
Practice Address - Phone:631-764-1303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-13
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02434300122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist