OMSCOR LLC NPI 1467060293

NPI Information

  • NPI: 1467060293
  • Provider Name: OMSCOR LLC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 3162 STATE ST
    MEDFORD, OR
    ZIP 97504
  • Phone: (541) 779-7799

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NPI Details

OMSCOR LLC is an oral and maxillofacial surgery dentist in Medford, OR. 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. OMSCOR LLC NPI is 1467060293. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3162 STATE ST
MEDFORD, OR
ZIP 97504-450
Phone: (541) 779-7799
Fax: (541) 779-7805

The provider's authorized official is Lynda Stallings .
The authorized official title is Insurance Manager and has the following contact phone number (541) 842-7053.

The enumeration date for this NPI number is 7/17/2020 and was last updated on 7/17/2020.

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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1500623112MEDICAIDOREGON

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: 11/21/2025

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