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

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1245096338

Id Oms Specialty Dental Services, PLLC is an Oral and Maxillofacial Surgery (Dentist) in Coeur D Alene, Idaho. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1859 N Lakewood Dr Ste 101
Coeur D Alene, ID 83814-2661
Phone: (208) 667-5565
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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 number1245096338
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationId Oms Specialty Dental Services, PLLC
Authorized official Charlotte Dasch — Director Of Credentialing &Pr · (504) 638-0303
Other names Implants Northwest
NPI enumeratedFebruary 26, 2024
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 26, 2024
Mailing address1610 54th Ave N Ste 205, Nashville, TN 37209-1442

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