Organization Active NPI

Ut Oms Specialty Dental Services , PLLC

Doing business as Precision Oral Surgery and Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Chesterfield, VA
National Provider Identifier
1033977186
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
UT OMS SPECIALTY DENTAL SERVICES , PLLC
Doing business as
Precision Oral Surgery and Implant Center
Practice address
10110 Iron Bridge Rd
Chesterfield, VA 23832-6529
Phone
(804) 768-9000
NPI assigned
Mar 12, 2024
Last updated
Aug 1, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
UT OMS SPECIALTY DENTAL SERVICES , PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Charlotte E Vial
Title
Director of Cred and PR
Phone
(504) 638-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

10110 Iron Bridge Rd
Chesterfield, VA 23832-6529

Mailing address

1610 54TH Ave N Ste 205
Nashville, TN 37209-1442
Phone (615) 678-0759

Other practice location 1

210 Executive Center Pkwy
Fredericksburg, VA 22401-3107
Phone (540) 374-1010

Other names 1

  • Precision Oral Surgery and Implant Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ut Oms Specialty Dental Services PLLC7 organizations share this tax ID, including this one
Part of
Ut Oms Specialty Dental Services PLLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1033977186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 54TH AVE N STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372091442",
            "telephone_number": "615-678-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 IRON BRIDGE RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238326529",
            "telephone_number": "804-768-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Executive Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224013107",
            "country_code": "US",
            "telephone_number": "540-374-1010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UT OMS SPECIALTY DENTAL SERVICES , PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UT OMS SPECIALTY DENTAL SERVICES , PLLC",
        "enumeration_date": "2024-03-12",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "VIAL",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR OF CRED AND PR",
        "authorized_official_telephone_number": "504-638-0303"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Oral Surgery and Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.