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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