UT OMS SPECIALTY DENTAL SERVICES PLLC
NPI 1235996174
Dentist - Oral and Maxillofacial Surgery in Provo, UT
About Ut Oms Specialty Dental Services Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UT OMS SPECIALTY DENTAL SERVICES PLLC (NPI 1235996174), doing business as Utah Oral Surgeons, is a healthcare organization registered as an oral and maxillofacial surgery in Provo, Utah and active in the NPI registry since March 2024. The organization lists Charlotte E Vial, Director Of Cred And Pr, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ut Oms Specialty Dental Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Ut Oms Specialty Dental Services PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ut Oms Specialty Dental Services PLLC's NPI number?
The NPI number for Ut Oms Specialty Dental Services PLLC is 1235996174. It was assigned to this organization in the NPPES registry on March 5, 2024. The provider is doing business as Utah Oral Surgeons.
Where is Ut Oms Specialty Dental Services PLLC located?
Ut Oms Specialty Dental Services PLLC is located at 777 N 500 W Ste 102, Provo, UT 84601. The listed phone number is (801) 341-2428.
What is Ut Oms Specialty Dental Services PLLC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Ut Oms Specialty Dental Services PLLC enrolled in Medicare?
Yes. Ut Oms Specialty Dental Services PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ut Oms Specialty Dental Services PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Oral Surgery, reassign their Medicare billing to Ut Oms Specialty Dental Services PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ut Oms Specialty Dental Services PLLC accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and UnitedHealthcare list Ut Oms Specialty Dental Services PLLC 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 Ut Oms Specialty Dental Services PLLC was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ut Oms Specialty Dental Services Pllc · NPI 1235996174
Oral and Maxillofacial Surgery organization in Provo, Utah. Organization record, active in the CMS NPPES registry since March 5, 2024.
## Identity
- **NPI:** 1235996174 (Entity type: Organization)
- **Enumerated:** March 5, 2024
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Also known as:** Utah Oral Surgeons (Doing Business As)
- **Organization subpart:** Yes (part of Ut Oms Specialty Dental Services Pllc)
- **Authorized official:** Charlotte Vial, DIRECTOR OF CRED AND PR
## Practice location
- **Address:** 777 N 500 W STE 102, Provo, UT 84601-1598
- **Phone:** (801) 341-2428
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Oral Surgery) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1235996174) · Data from the CMS NPPES public registry.