Provider Demographics
NPI:1023818101
Name:ALHINDI, OMAR MAZEN (DDS)
Entity type:Individual
Prefix:DR
First Name:OMAR
Middle Name:MAZEN
Last Name:ALHINDI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 W LAKE VAN NESS CIR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-7025
Mailing Address - Country:US
Mailing Address - Phone:559-994-9582
Mailing Address - Fax:
Practice Address - Street 1:2727 W LAKE VAN NESS CIR
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-7025
Practice Address - Country:US
Practice Address - Phone:559-994-9582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA111321122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist