Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Az Oms Specialty Dental Services, LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1144900994

Az Oms Specialty Dental Services, LLC is an Oral and Maxillofacial Surgery (Dentist) in Phoenix, Arizona. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

42104 N Venture Dr Ste 106
Phoenix, AZ 85086-3823
Phone: (623) 551-6556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1144900994
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAz Oms Specialty Dental Brands, LLC
Authorized official Charlotte Dasch — Director Of Credentialing & Pr · (504) 638-0303
NPI enumeratedJuly 18, 2023
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023
Mailing address1610 54th Ave N Ste 205, Nashville, TN 37209-1442

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