# MT OMS SPECIALTY DENTAL SERVICES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Summit Oral Surgery & Implant Center, Billings Oral Surgery & Dental Implant Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255007589
- **Authorized official:** CHARLOTTE DASCH (DIRECTOR OF PROVIDER RELATIONS)
- **Authorized official phone:** (504) 638-0303

## Contact information

- **Practice address:** 152 S 32ND ST W STE B, BILLINGS, MT 59102-6875
- **Practice address phone:** (406) 245-4414
- **Mailing address:** 1610 54TH AVE N, NASHVILLE, TN 37209-1401
- **Mailing address phone:** (504) 638-0303

## 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:** 08/17/2021
- **Last updated:** 06/06/2023