Organization
OK OMS SPECIALTY DENTAL SERVICES, PLLC
Active
Parent organization
OK OMS SPECIALTY DENTAL SERVICES, PLLC
Other names
Edmond Pediatric and Teen Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
OK OMS SPECIALTY DENTAL SERVICES, PLLC
Authorized official
CHARLOTTE V DASCH (DIRECTOR OF CRED AND PROV REL)
(615) 678-0759
Entity
Organization
Contact information
Practice address
101 S SAINTS BLVD STE 212, EDMOND, OK 73034-3083
(405) 513-8811
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
03/13/2025
Last updated
03/13/2025
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