OMSCOR LLC
NPI 1467060293
Dentist - Oral and Maxillofacial Surgery in Medford, OR

Active since July 17, 2020
3162 STATE ST, MEDFORD, OR 97504(541) 779-7799(541) 779-7805 Get Directions Write a Review

NPPES record last updated: July 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Omscor Llc NPPES

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

OMSCOR LLC (NPI 1467060293) is a healthcare organization registered as an oral and maxillofacial surgery in Medford, Oregon and active in the NPI registry since July 2020. The organization lists Lynda Stallings, Insurance Manager, as its authorized official.

NPPES Registry Identity

NPI1467060293
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameOMSCOR LLC
Location Address3162 STATE STMedford, OR 97504-8450
Mailing Address3162 State StMedford, OR 97504-8450 · (541) 779-7799 · Fax (541) 779-7805
Fax(541) 779-7805
Organization SubpartNo
Authorized OfficialLynda StallingsInsurance Manager · (541) 842-7053
Enumeration DateJuly 17, 2020
NPPES CertifiedJuly 17, 2020
NPI 1467060293 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.
3162 STATE ST, Medford, OR 97504

Other Identifiers 1

Medicaid500623112OR

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 3

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

Dentist (Oral and Maxillofacial Pathology)
3162 STATE ST
MEDFORD, OR 97504
Dentist (Oral and Maxillofacial Surgery)
3162 STATE ST
MEDFORD, OR 97504
Dentist (Oral and Maxillofacial Surgery)
3162 STATE ST
MEDFORD, OR 97504

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 Omscor LLC's NPI number?

The NPI number for Omscor LLC is 1467060293. It was assigned to this organization in the NPPES registry on July 17, 2020.

Where is Omscor LLC located?

Omscor LLC is located at 3162 State St, Medford, OR 97504. The listed phone number is (541) 779-7799.

What is Omscor 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 Omscor LLC was last updated on July 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.