OrganizationActive
Ut Oms Specialty Dental Services PLLC
NPI 1376206755 · Oral and Maxillofacial Surgery (Dentist) · Provo, UT
Provider details
- NPI number
- 1376206755
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Charlotte Dasch, Director of Provider Relations(615) 678-0759
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
777 N 500 W Ste 102
Provo, UT 84601-1598
Phone: (801) 750-9672
Street-level locationGet directions
Mailing address
401 Church St Ste 1400
Nashville, TN 37219-2214
Registry dates
- Enumerated
- 2021-10-21
- Last updated
- 2021-10-21
- Certified
- 2021-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.