Organization
NE OMS SPECIALTY DENTAL SERVICES, LLC
Active
Parent organization
NE OMS SPECIALTY DENTAL SERVICES, LLC
Other names
Oral Surgery Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
NE OMS SPECIALTY DENTAL SERVICES, LLC
Authorized official
CHARLOTTE DASCH (DIRECTOR OF CRED AND PR)
(504) 638-0303
Entity
Organization
Contact information
Practice address
201 RIDGE ST STE 308, COUNCIL BLUFFS, IA 51503-4643
(402) 397-1205
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
03/05/2024
Last updated
03/05/2024
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