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AZ OMS SPECIALTY DENTAL SERVICES, LLC
NPI 1144900994
Dentist - Oral and Maxillofacial Surgery in Phoenix, AZ

Active since July 18, 2023
42104 N VENTURE DR STE 106, PHOENIX, AZ 85086(623) 551-6556 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Az Oms Specialty Dental Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AZ OMS SPECIALTY DENTAL SERVICES, LLC (NPI 1144900994) is a healthcare organization registered as an oral and maxillofacial surgery in Phoenix, Arizona and active in the NPI registry since July 2023. The organization lists Charlotte Dasch, Director Of Credentialing & Pr, as its authorized official.

NPPES Registry Identity

NPI1144900994
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameAZ OMS SPECIALTY DENTAL SERVICES, LLC
Location Address42104 N VENTURE DR STE 106Phoenix, AZ 85086-3823
Mailing Address1610 54th Ave N Ste 205Nashville, TN 37209-1442 · (504) 638-0303
Phone(623) 551-6556
Organization SubpartYesParent: Az Oms Specialty Dental Brands, Llc
Authorized OfficialCharlotte DaschDirector Of Credentialing & Pr · (504) 638-0303
Enumeration DateJuly 18, 2023
Last NPPES UpdateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1144900994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
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.
42104 N VENTURE DR STE 106, Phoenix, AZ 85086
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Az Oms Specialty Dental Services, LLC's NPI number?

The NPI number for Az Oms Specialty Dental Services, LLC is 1144900994. It was assigned to this organization in the NPPES registry on July 18, 2023.

Where is Az Oms Specialty Dental Services, LLC located?

Az Oms Specialty Dental Services, LLC is located at 42104 N Venture Dr Ste 106, Phoenix, AZ 85086. The listed phone number is (623) 551-6556.

What is Az Oms Specialty Dental Services, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Az Oms Specialty Dental Services, LLC accept?

Health plans from UnitedHealthcare list Az Oms Specialty Dental Services, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Az Oms Specialty Dental Services, LLC was last updated on August 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.