| Az Oms Specialty Dental Services, Llc | |
|
1876 E Innovation Park Dr Oro Valley AZ 85755-1963 | |
| (520) 745-2454 | |
| Not Available |
| Full Name | Az Oms Specialty Dental Services, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1876 E Innovation Park Dr, Oro Valley, Arizona |
| Authorized Official Name and Position | Charlotte Dasch (DIRECTOR OF PROVIDER RELATIONS) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Az Oms Specialty Dental Services, Llc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (504) 638-0303 | Az Oms Specialty Dental Services, Llc 1876 E Innovation Park Dr Oro Valley AZ 85755-1963 Ph: (520) 745-2454 |
| NPI Number | 1336808815 |
|---|---|
| Provider Enumeration Date | 12/13/2021 |
| Last Update Date | 07/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336808815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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