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OMS OF SE NM LLC NPI 1053629089


NPI Information

NPI: 1053629089
Provider Name: OMS OF SE NM, LLC

Doing Business As: OMS OF SE NM, LLC

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
207 N. UNION STE. E
OMS OF SE NM, LLC
ROSWELL, NM
ZIP 88201
Phone: (575) 623-5711
Get Directions

OMS OF SE NM, LLC is an oral and maxillofacial surgery dentist in Roswell, NM. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. OMS OF SE NM, LLC NPI is 1053629089. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Oms Of Se Nm, Llc.

The provider's business location address is:

207 N. UNION STE. E
OMS OF SE NM, LLC
ROSWELL, NM
ZIP 88201-068
Phone: (575) 623-5711
Fax: (575) 623-8628

The provider's authorized official is Sherry C Eckel .
The authorized official title is Owner and has the following contact phone number (575) 623-5711.

The enumeration date for this NPI number is 9/24/2010 and was last updated on 9/24/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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