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

Omar Elbarrag I

Individual provider General Practice Dentistry · NPI 1104780824

Omar Elbarrag I is a Dentist in Roxbury, Massachusetts. Qualified in 2020, 6 years ago. Licensed in Massachusetts.

Years since qualifying
6
Licensed in
MA
In the registry since
2025

Practice location Address checks out

55 Dimock St
Roxbury, MA 02119-1029
Phone: (617) 442-8800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DL101270 (MA)

Record details

NPI number1104780824
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 16, 2025
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address9 Forbes St, Jamaica Plain, MA 02130-4858

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Roxbury