Active NPI
Dailey Oms
- Oral and Maxillofacial Surgery (Dentist)
- Wall Township, NJ
National Provider Identifier
1417875220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 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 DirectoryLocations
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.