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

Odai Abushanab, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053818302

Odai Abushanab, DMD is a Student in an Organized Health Care Education/Training Program in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2018.

Licensed in
NJ
In the registry since
2018
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

110 Bergen St
Newark, NJ 07103-2495
Phone: (973) 972-3126
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 22DI02760901 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053818302
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 11, 2018
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024
Mailing address82 Smithtown Rd, Budd Lake, NJ 07828-1932

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