Or Oms Specialty Dental Services, LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

OR OMS SPECIALTY DENTAL SERVICES, LLC

Practice address

250 Church St SE Ste 102
Salem, OR 97301-3758

Phone

(503) 581-1999

NPI assigned

Oct 22, 2025

Organization subpart

Yes

Parent organization

OR 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

Sr. Director of Credentialing

Phone

(615) 678-0759

Specialties & licenses 1

Addresses

Tax ID family

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

Part of

Or 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.

• Or Oms Specialty Dental Services, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Salem, OR
  • NPI 1568339711
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Or Oms Specialty Dental Services, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Salem, OR
  • NPI 1568339711
  NPPES parent name

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1548137706",
    "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": "250 CHURCH ST SE STE 102",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013758",
            "telephone_number": "503-581-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OR OMS SPECIALTY DENTAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OR OMS SPECIALTY DENTAL SERVICES, LLC",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "DASCH",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SR. DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "615-678-0759"
    },
    "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": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Salem, OR
• Providers in Salem, OR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.