IndividualActive
Omar Moustafa, BDS, MSC, MS, FRCDC
NPI 1740016088 · Prosthodontics · Louisville, KY
Provider details
- NPI number
- 1740016088
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- BDS, MSC, MS, FRCDC
- Sex
- Male
- Sole proprietor
- No
- License
- 11169 (KY)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
501 S Preston St Ofc 58
Louisville, KY 40202-1701
Phone: (614) 886-7609
Approximate (ZIP-level) locationGet directions
Mailing address
501 S Preston St Ofc 68
Louisville, KY 40202-1701
Registry dates
- Enumerated
- 2024-09-12
- Last updated
- 2024-09-13
- Certified
- 2024-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.