NE Oms Specialty Dental Services, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

NE OMS SPECIALTY DENTAL SERVICES, LLC

Practice address

13215 Birch Dr Ste 100
Omaha, NE 68164-5431

Phone

(402) 397-1205

NPI assigned

Dec 7, 2021

Organization subpart

Yes

Parent organization

NE OMS SPECIALTY DENTAL SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Charlotte Dasch

Title

Director of Credentialing & PR

Phone

(504) 638-0303

Specialties & licenses 1

Addresses

Other names 1

• Oral Surgery Associates Doing business as

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

NE Oms Specialty Dental Services LLC2 organizations share this tax ID, including this one

Part of

NE Oms Specialty Dental Services LLC

Other organizations with this tax ID 1

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

• NE Oms Specialty Dental Services, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Council Bluffs, IA
  • NPI 1467219402
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Arthur Coffey, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Omaha, NE
  • NPI 1346466133
  NPD (past)
• John D Engel, MD DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Omaha, NE
  • NPI 1740378652
  NPD (past)
• Maria Lynne Nord, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Omaha, NE
  • NPI 1174020077
  NPD (past)
• Robert M Pfeifle, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Omaha, NE
  • NPI 1124116033
  NPD (past)

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1194483032",
    "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": "13215 BIRCH DR STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681645431",
            "telephone_number": "402-397-1205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11717 Bryan St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "NE",
            "postal_code": "680285203",
            "country_code": "US",
            "telephone_number": "504-638-0303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Ridge St",
            "address_purpose": "LOCATION",
            "city": "Council Bluffs",
            "state": "IA",
            "postal_code": "515034643",
            "country_code": "US",
            "telephone_number": "504-638-0303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1502 S Washington St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Papillion",
            "state": "NE",
            "postal_code": "680463136",
            "country_code": "US",
            "telephone_number": "504-638-0303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1437 E 23rd St",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "NE",
            "postal_code": "680252433",
            "country_code": "US",
            "telephone_number": "504-638-0303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NE OMS SPECIALTY DENTAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NE OMS SPECIALTY DENTAL SERVICES, LLC",
        "enumeration_date": "2021-12-07",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "DASCH",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING &  PR",
        "authorized_official_telephone_number": "504-638-0303"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Office",
            "affiliation": "N",
            "address_1": "13215 Birch Dr Ste 100",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681645431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Oral Surgery Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daouda Ndiaye
• Nantenin Ndiaye Sr.
• Kristin Ndoda, RN
• Daniel Y Ndong-Assa
• NE Empower ABA LLC
• NE Specialty Dental Services LLC
• NE Specialty Dental Services LLC
• NE Specialty Dental Services LLC
• NE Specialty Dental Services LLC
• Arnetta Denise Neal

• Oral and Maxillofacial Surgery (Dentist) in Omaha, NE
• Providers in Omaha, NE by specialty
• Oral and Maxillofacial Surgery (Dentist) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.