# OMS OF SE NM, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OMS OF SE NM, LLC
- **Other names:** OMS of SE NM, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1053629089
- **Legal business name:** OMS OF SE NM, LLC
- **Authorized official:** MRS. SHERRY C ECKEL (OWNER)
- **Authorized official phone:** (575) 623-5711

## Contact information

- **Practice address:** 207 N. UNION STE. E, OMS OF SE NM, LLC, ROSWELL, NM 88201-3068
- **Practice address phone:** (575) 623-5711
- **Practice address fax:** (575) 623-8628
- **Mailing address:** 207 N. UNION STE. E, OMS OF SE NM, LLC, ROSWELL, NM 88201-3068
- **Mailing address phone:** (575) 623-5711
- **Mailing address fax:** (575) 623-8628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 09/24/2010
- **Last updated:** 09/24/2010