Organization
OK OMS SPECIALTY DENTAL SERVICES
Active
Parent organization
OK OMS SPECIALTY DENTAL SERVICES
Other names
Wisdom Teeth OKC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OK OMS SPECIALTY DENTAL SERVICES
Authorized official
CHARLOTTE DASCH (DIRECTOR OF CREDENTIALING &PR)
(504) 638-0303
Entity
Organization
Contact information
Practice address
5940 NW EXPRESSWAY, STE 150, OKLAHOMA CITY, OK 73132
(405) 495-5600
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(504) 638-0303
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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