Organization Active NPI

Dailey Oms

  • Oral and Maxillofacial Surgery (Dentist)
  • Wall Township, NJ
National Provider Identifier
1417875220
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
DAILEY OMS
Practice address
4814 Outlook Dr Ste 105
Wall Township, NJ 07753-6839
Phone
(732) 673-9792
NPI assigned
Jul 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Marisa Rebecca Dailey, DDS
Title
Owner
Phone
(732) 673-9792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

4814 Outlook Dr Ste 105
Wall Township, NJ 07753-6839

Mailing address

4814 Outlook Dr Ste 105
Wall Township, NJ 07753-6839
Phone (732) 673-9792

National Provider Directory

National Provider Directory

Locations

4814 Outlook Dr
Ste 105
Wall Township, NJ 07753

NPI Registry JSON

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

{
    "created_epoch": "1783468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1417875220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4814 OUTLOOK DR STE 105",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077536839",
            "telephone_number": "732-673-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4814 OUTLOOK DR STE 105",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077536839",
            "telephone_number": "732-673-9792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAILEY OMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "DAILEY",
        "authorized_official_first_name": "MARISA",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-673-9792",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.