Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376165928 Individual Practitioner Male Practitioner

Dr. Omeir Mallick , DDS

Dentist • Hanover, PA

Professional Overview & Biography Verified Profile Summary

Dr. Omeir Mallick, DDS is a registered healthcare professional specializing in Dentist in Hanover, PA. Practice services are available at 138 BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

138 Broadway

Hanover, PA 173312500

Telephone 7176328571
Fax 7176326466
Associated Practice Facility / Clinic
🏢 Tarik Jbarah, Dmd, Llc Facility NPI 1477920304

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Hanover, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 42.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
17 Specialists

Practicing in Hanover, PA (3554 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

CMS Verified: 2022-03-25
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License PA DS043118

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
103892011 (PA)

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Jon Hart , DMD

Dentist - General Practice

NPI 1003012519

Doctor of Dental Medicine

Dr. John Greene , DMD

Dentist - General Practice

NPI 1457533242

Doctor of Dental Medicine

Dr. Felicitas Wibowo , DMD

Dentist - Endodontics

NPI 1992972095

Doctor of Dental Medicine

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 25, 2022

Registered at 138 BROADWAY, HANOVER, PA 173312500 (Tel: 7176328571)

📍
Updated Business Mailing Address March 25, 2022

Registered at 32 DOOLIN BAY DRIVE, BEAR, DE 197016370 (Tel: 3023676857)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2022

Dentist (License #DS043118 in PA)

NPI Profile Active May 16, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2020

Registered at 234 E 149TH ST # 2A8, BRONX, NY 104515504 (Tel: 7185795692)

📍
Updated Business Mailing Address May 16, 2020

Registered at 234 E 149TH ST, BRONX, NY 104515504 (Tel: 7185795692)

👤
Provider Name / Credentials Updated May 16, 2020

Recorded as OMEIR MALLICK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 16, 2020

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: 1376165928
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2020
Last Update: March 25, 2022
Sole Proprietor: Yes

Mailing Address

32 Doolin Bay Drive

Bear, DE 197016370

Phone: 3023676857

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.