Provider Demographics
NPI:1205665171
Name:GHANI, OMER LIAQAT (DMD)
Entity type:Individual
Prefix:DR
First Name:OMER
Middle Name:LIAQAT
Last Name:GHANI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3108 RIVERFRONT DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-3184
Mailing Address - Country:US
Mailing Address - Phone:406-969-9707
Mailing Address - Fax:
Practice Address - Street 1:1930 E CARSON ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-2087
Practice Address - Country:US
Practice Address - Phone:412-381-3373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0446711223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice