Overview
Name: ID OMS SPECIALTY DENTAL SERVICES, PLLC
Specialty: Oral and Maxillofacial Surgery (Dentist)
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Dental Providers
Classification: Dentist
Specialization: Oral and Maxillofacial Surgery.
Definition of Specialty: The specialty of dentistry which includes 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.
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: ID OMS SPECIALTY DENTAL SERVICES, PLLC,1859 N LAKEWOOD DR STE 101,COEUR D ALENE,ID,838142661,US
Mailing Address: ID OMS SPECIALTY DENTAL SERVICES, PLLC,401 CHURCH ST STE 1400,NASHVILLE,TN,372192214,US
Contact #
Practice location phone #: 2086675565
Practice location fax #:
Mailing address Phone #: 5046380303
Mailing Address fax #:
Authorized official Name/Telephone #:CHARLOTTE, DASCH, DIRECTOR OF PROVIDER RELATIONS 5046380303
Misc
Date NPI was obtained: 08/30/2021
Last data data was updated: 08/30/2021
Insurances: