Organization
MT OMS SPECIALTY DENTAL SERVICES, PLLC
Active
Other names
Summit Oral Surgery & Implant Center, Billings Oral Surgery & Dental Implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE DASCH (DIRECTOR OF PROVIDER RELATIONS)
(504) 638-0303
Entity
Organization
Contact information
Practice address
152 S 32ND ST W STE B, BILLINGS, MT 59102-6875
(406) 245-4414
Mailing address
1610 54TH AVE N, NASHVILLE, TN 37209-1401
(504) 638-0303
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
06/06/2023
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