Organization
OR OMS SPECIALTY DENTAL SERVICES, LLC
Active
Parent organization
OR OMS SPECIALTY DENTAL SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OR OMS SPECIALTY DENTAL SERVICES, LLC
Authorized official
CHARLOTTE DASCH (SR. DIRECTOR OF CREDENTIALING)
(615) 678-0759
Entity
Organization
Contact information
Practice address
250 CHURCH ST SE STE 102, SALEM, OR 97301-3758
(503) 581-1999
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
10/22/2025
Last updated
10/22/2025
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