Provider Demographics
NPI:1841720075
Name:ALKOREK, OMAR (DMD)
Entity type:Individual
Prefix:DR
First Name:OMAR
Middle Name:
Last Name:ALKOREK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10526 HOLLY CREST DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32836-5864
Mailing Address - Country:US
Mailing Address - Phone:386-214-5714
Mailing Address - Fax:
Practice Address - Street 1:27417 US HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-9084
Practice Address - Country:US
Practice Address - Phone:352-702-4760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA107007122300000X
FLDN22682122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist