Organization
OR OMS SPECIALTY DENTAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
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
(503) 581-1107
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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