OrganizationActive
Ok Oms Specialty Dental Services
NPI 1164276572 · Oral and Maxillofacial Surgery (Dentist) · Oklahoma City, OK
Provider details
- NPI number
- 1164276572
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Parent organization
- Ok Oms Specialty Dental Services
- Organization subpart
- Yes
- Authorized official
- Charlotte Dasch, Director of Credentialing &pr(504) 638-0303
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5940 Nw Expressway
Ste 150
Oklahoma City, OK 73132
Phone: (405) 495-5600
Street-level locationGet directions
Mailing address
1610 54th Ave N Ste 205
Nashville, TN 37209-1442
Other names (DBA / former)
- Doing business as
- Wisdom Teeth Okc
Registry dates
- Enumerated
- 2024-04-12
- Last updated
- 2024-04-12
- Certified
- 2024-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.