Mohamed Abo-Basha

NPI 1093643629 · on the registry since 2026

Practice

Address: 6217 S Western Ave
Oklahoma City, OK 73139
Phone: (405) 896-9052
Organisation at this address: Dental Depot 62nd & South Western Pllc
Dental Depot Orthodontics Sw Okc, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-06-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma