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UT OMS SPECIALTY DENTAL SERVICES PLLC
NPI 1376206755
Dentist - Oral and Maxillofacial Surgery in Provo, UT

Active since October 21, 2021
777 N 500 W STE 102, PROVO, UT 84601(801) 750-9672 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 1376206755) is a healthcare organization registered as an oral and maxillofacial surgery in Provo, Utah and active in the NPI registry since October 2021. The organization lists Charlotte V Dasch, Director Of Provider Relations, as its authorized official.

NPPES Registry Identity

NPI1376206755
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameUT OMS SPECIALTY DENTAL SERVICES PLLC
Location Address777 N 500 W STE 102Provo, UT 84601-1598
Mailing Address401 Church St Ste 1400Nashville, TN 37219-2214 · (615) 678-0759
Phone(801) 750-9672
Organization SubpartNo
Authorized OfficialCharlotte V DaschDirector Of Provider Relations · (615) 678-0759
Enumeration DateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
✔ NPI 1376206755 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.

777 N 500 W STE 102, Provo, UT 84601
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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

UT OMS SPECIALTY DENTAL SERVICES PLLC
Dentist (Oral and Maxillofacial Surgery)
777 N 500 W STE 102
PROVO, UT 84601
Utah County (801) 341-2428

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 1376206755. It was assigned to this organization in the NPPES registry on October 21, 2021.

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) 750-9672.

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.

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 October 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.