# OMS SPECIALISTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144473265
- **Authorized official:** MR. JOSEPH S DOCTORA D.D.S. M.D. (ORAL SURGEON)
- **Authorized official phone:** (615) 220-5525

## Contact information

- **Practice address:** 366 S LOWRY ST, SMYRNA, TN 37167-3415
- **Practice address phone:** (615) 220-5525
- **Mailing address:** 366 S LOWRY ST, SMYRNA, TN 37167-3415

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS7268 | TN | Yes |

## Other

- **Enumeration date:** 11/03/2008
- **Last updated:** 11/03/2008