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Organization

MT OMS SPECIALTY DENTAL SERVICES, PLLC

Active
Parent organization
MT OMS SPECIALTY DENTAL SERVICES, PLLC
Other names
Summit Oral Surgery & Implant Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
MT OMS SPECIALTY DENTAL SERVICES, PLLC
Authorized official
CHARLOTTE E VIAL (DIRECTOR OF PROVIDER)
(504) 638-0303
Entity
Organization

Contact information

Practice address
625 HENRY CHAPPLE ST, BILLINGS, MT 59106-1839
(406) 259-7438
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(504) 638-0303

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Enumeration date
06/07/2023
Last updated
11/01/2023
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