Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mohamedtarek A Omran, BDS

Individual provider Dentist · NPI 1801142328

Mohamedtarek A Omran, BDS is a Dentist in Alton, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2012
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Practice location Address checks out

2800 College Ave
Alton, IL 62002-4742
Phone: (618) 474-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019028913 (IL)

Record details

NPI number1801142328
Entity typeIndividual (Type 1)
GenderMale
Credentials BDS
Sole proprietorYes
NPI enumeratedAugust 2, 2012
Last updated in NPPESAugust 2, 2012

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