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Organization

UT OMS SPECIALTY DENTAL SERVICES , PLLC

Active
Parent organization
UT OMS SPECIALTY DENTAL SERVICES , PLLC
Other names
Precision Oral Surgery and Implant Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
UT OMS SPECIALTY DENTAL SERVICES , PLLC
Authorized official
CHARLOTTE E VIAL (DIRECTOR OF CRED AND PR)
(504) 638-0303
Entity
Organization

Contact information

Practice address
10110 IRON BRIDGE RD, CHESTERFIELD, VA 23832-6529
(804) 768-9000
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(615) 678-0759

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Enumeration date
03/12/2024
Last updated
08/01/2025
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