NE OMS SPECIALTY DENTAL SERVICES LLC NPI 1194483032

NPI Information

  • NPI: 1194483032
  • Provider Name: NE OMS SPECIALTY DENTAL SERVICES, LLC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: ORAL SURGERY ASSOCIATES
  • CLIA Number: 28D1037851
  • Address: 13215 BIRCH DR STE 100
    OMAHA, NE
    ZIP 68164
  • Phone: (302) 497-1205

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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