Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083732010 Individual Practitioner Male Practitioner

Omar Hisham Baker Sudqi , BDS

Dentist • Lancaster, CA

Professional Overview & Biography Verified Profile Summary

Omar Sudqi, BDS is a registered healthcare professional specializing in Dentist in Lancaster, CA. Practice services are available at 45104 10 TH ST W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

45104 10 Th St W
Antelope Valley Community Clinic

Lancaster, CA 935342310

Telephone 6619422391
Fax 6619026839
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Lancaster, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
48 Specialists

Practicing in Lancaster, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 46141

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Dr. Qiyuan Dai , MD

Internal Medicine

NPI 1043506728

Doctor of Medicine (M.D.)

NPI 1053773754

Family Nurse Practitioner (Certified)

NPI 1083879084
Ana Guillen

Case Manager/Care Coordinator

NPI 1124731948
NPI 1144511668

Doctor of Osteopathic Medicine (D.O.)

Ellen Guray , PA-C

Physician Assistant

NPI 1154867026

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2017

Registered at 45104 10 TH ST W, ANTELOPE VALLEY COMMUNITY CLINIC, LANCASTER, CA 935342310 (Tel: 6619422391)

📍
Updated Business Mailing Address January 12, 2017

Registered at 45104 10TH ST W, LANCASTER, CA 935342310 (Tel: 6619422391)

👤
Provider Name / Credentials Updated January 12, 2017

Recorded as OMAR SUDQI, B.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2017

Dentist (License #46141 in CA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at WESTERN DENTAL CENTER, 1450 N. IMPERIAL AVE., EL CENTRO, CA 92243 (Tel: 7603703950)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1055 W. BLAINE ST. APT # 127, RIVERSIDE, CA 92507 (Tel: 9512318755)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as OMAR SUDQI, B.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #46141 in CA)

🟢
Initial NPI Registration & Enumeration March 27, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083732010
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2007
Last Update: January 12, 2017
Sole Proprietor: No

Mailing Address

45104 10th St W

Lancaster, CA 935342310

Phone: 6619422391

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.