Provider Demographics
NPI:1871473355
Name:OMEGA DENTAL OF GEORGY DDS INC.
Entity type:Organization
Organization Name:OMEGA DENTAL OF GEORGY DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:EMAD GEORGY
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:415-867-8958
Mailing Address - Street 1:25285 MADISON AVE STE 107
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-8955
Mailing Address - Country:US
Mailing Address - Phone:951-698-3585
Mailing Address - Fax:951-412-2044
Practice Address - Street 1:25285 MADISON AVE STE 107
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-8955
Practice Address - Country:US
Practice Address - Phone:951-698-3585
Practice Address - Fax:951-412-2044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty