Organization
ID OMS SPECIALTY DENTAL SERVICES, PLLC
Active
Parent organization
ID OMS SPECIALTY DENTAL SERVICES, PLLC
Other names
Boise Oral Surgery & Implant Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ID OMS SPECIALTY DENTAL SERVICES, PLLC
Authorized official
CHARLOTTE DASCH (DIRECTOR OF CREDENTIALING AND PR)
(615) 678-0759
Entity
Organization
Contact information
Practice address
7910 W USTICK RD, BOISE, ID 83704-5850
(208) 322-5522
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
02/26/2024
Last updated
02/26/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up