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

Q: 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.

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: October 18, 2026.

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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 UnitedHealthcare.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

Medicare 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, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

William Mcbee, DDS

Oral Surgery

NPI 1093898157

777 N 500 W SUITE 102
Provo, UT 84601

(801) 375-4707

✔ PECOS✔ Accepts MedicareSame address

Gary Crawford, DDS

Oral Surgery

NPI 1649353715

777 N 500 W
Provo, UT 84601

(801) 375-4707

✔ PECOS✔ Accepts Medicare1.2 mi

Nathaniel Edmunds, DMD

Oral Surgery

NPI 1275067704

867 EASTGATE NORTH DR
Cincinnati, OH 45245

(513) 843-0133

✔ PECOS✔ Accepts Medicare1,457 mi

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 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.

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, 1 practice at this address and 2 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 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.