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Ok Oms Specialty Dental Services, PLLC — NPI 1437958196, Edmond, OK | NPI Central

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NPI 1437958196

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Ok Oms Specialty Dental Services, PLLC

NPI 1437958196 · Oral and Maxillofacial Surgery (Dentist) · Edmond, OK

Provider details

NPI number: 1437958196
Entity type: Organization
Primary specialty: Oral and Maxillofacial Surgery (Dentist)Dental Providers
Parent organization: Ok Oms Specialty Dental Services, PLLC
Organization subpart: Yes
Authorized official: Charlotte Dasch, Director of Cred and Prov Rel(615) 678-0759

Specialties & taxonomies

Oral and Maxillofacial Surgery (Dentist)Primary1223S0112X
Dental Providers

Practice location

101 S Saints Blvd Ste 212

Edmond, OK 73034-3083

Phone: (405) 513-8811

Approximate (ZIP-level) locationGet directions

More OK providers

Mailing address

1610 54th Ave N Ste 205

Nashville, TN 37209-1442

Other names (DBA / former)

Doing business as: Edmond Pediatric and Teen Dentistry

Registry dates

Enumerated: 2025-03-13
Last updated: 2025-03-13
Certified: 2025-03-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.