ID OMS SPECIALTY DENTAL SERVICES, PLLC - NPI 1366119075

Q: What is Id 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.

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About Id Oms Specialty Dental Services, Pllc NPPES

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

ID OMS SPECIALTY DENTAL SERVICES, PLLC (NPI 1366119075) is a healthcare organization registered as an oral and maxillofacial surgery in Coeur D Alene, Idaho and active in the NPI registry since August 2021. The organization lists Charlotte Dasch, Director Of Provider Relations, as its authorized official.

NPPES Registry Identity

NPI1366119075

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameID OMS SPECIALTY DENTAL SERVICES, PLLC

Location Address1859 N LAKEWOOD DR STE 101Coeur D Alene, ID 83814-2661

Mailing Address401 Church St Ste 1400Nashville, TN 37219-2214 · (504) 638-0303

Phone(208) 667-5565

Organization SubpartNo

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

Enumeration DateAugust 30, 2021

NPPES CertifiedAugust 30, 2021

✔ NPI 1366119075 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.

1859 N LAKEWOOD DR STE 101, Coeur D Alene, ID 83814

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Other Names 1

Other NameSpecialty Dental Brands

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD JOHN MONTANDON D.D.S.

Dentist (Dentist Anesthesiologist)

1859 N LAKEWOOD DR STE 101
COEUR D ALENE, ID 83814

Kootenai County (208) 818-6527

ID OMS SPECIALTY DENTAL SERVICES, PLLC

Dentist (Oral and Maxillofacial Surgery)

1859 N LAKEWOOD DR STE 101
COEUR D ALENE, ID 83814

Kootenai County (208) 667-5565

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 Id Oms Specialty Dental Services, PLLC's NPI number?

The NPI number for Id Oms Specialty Dental Services, PLLC is 1366119075. It was assigned to this organization in the NPPES registry on August 30, 2021. The provider is also known as Specialty Dental Brands.

Where is Id Oms Specialty Dental Services, PLLC located?

Id Oms Specialty Dental Services, PLLC is located at 1859 N Lakewood Dr Ste 101, Coeur D Alene, ID 83814. The listed phone number is (208) 667-5565.

What is Id 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.

When was this NPI record last updated?

The NPPES record for Id Oms Specialty Dental Services, PLLC was last updated on August 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.