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NE OMS SPECIALTY DENTAL SERVICES LLC NPI 1194483032


NPI Information

NPI: 1194483032
Provider Name: NE OMS SPECIALTY DENTAL SERVICES, LLC

Doing Business As: ORAL SURGERY ASSOCIATES

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

CLIA Number: 28D1037851

Address:
13215 BIRCH DR STE 100
OMAHA, NE
ZIP 68164
Phone: (302) 497-1205
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NE OMS SPECIALTY DENTAL SERVICES, LLC is an oral and maxillofacial surgery dentist in Omaha, NE. The provider is an oral and maxillofacial surgery dentist specialized in 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. NE OMS SPECIALTY DENTAL SERVICES, LLC NPI is 1194483032. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Oral Surgery Associates.

The provider's business location address is:

13215 BIRCH DR STE 100
OMAHA, NE
ZIP 68164-431
Phone: (302) 497-1205

The provider's authorized official is Charlotte Dasch .
The authorized official title is DIRECTOR OF CREDENTIALING & PRPr and has the following contact phone number (504) 638-0303.

The CLIA number assigned to this NPI record is 28D1037851 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2021 and was last updated on 2/26/2024.


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: 4/28/2024

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