AZ OMS SPECIALTY DENTAL SERVICES, LLC
NPI 1336808815
Dentist - Oral and Maxillofacial Surgery in Oro Valley, AZ

Q: 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.

Active since December 13, 2021

1876 E INNOVATION PARK DR, ORO VALLEY, AZ 85755(520) 745-2454 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 18, 2023, Dec 13, 2021 (2 updates tracked since 2021).

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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 1336808815) is a healthcare organization registered as an oral and maxillofacial surgery in Oro Valley, Arizona and active in the NPI registry since December 2021. The organization lists Charlotte Dasch, Director Of Provider Relations, as its authorized official.

NPPES Registry Identity

NPI1336808815

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameAZ OMS SPECIALTY DENTAL SERVICES, LLC

Location Address1876 E INNOVATION PARK DROro Valley, AZ 85755-1963

Mailing Address1610 54th Ave N Ste 205Nashville, TN 37209-1442 · (504) 638-0303

Phone(520) 745-2454

Organization SubpartNo

Authorized OfficialCharlotte DaschDirector Of Provider Relations · (504) 638-0303

Enumeration DateDecember 13, 2021

Last NPPES UpdateJuly 18, 20232 updates tracked since enumeration

NPPES CertifiedJuly 18, 2023

✔ NPI 1336808815 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.

1876 E INNOVATION PARK DR, Oro Valley, AZ 85755

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 1336808815. It was assigned to this organization in the NPPES registry on December 13, 2021.

Where is Az Oms Specialty Dental Services, LLC located?

Az Oms Specialty Dental Services, LLC is located at 1876 E Innovation Park Dr, Oro Valley, AZ 85755. The listed phone number is (520) 745-2454.

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.

When was this NPI record last updated?

The NPPES record for Az Oms Specialty Dental Services, LLC was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.