Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

UT Oms Specialty Dental Services PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1376206755

UT Oms Specialty Dental Services PLLC is an Oral and Maxillofacial Surgery (Dentist) in Provo, Utah. Registered with an NPI since 2021.

In the registry since
2021
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

777 N 500 W Ste 102
Provo, UT 84601-1598
Phone: (801) 750-9672
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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 number1376206755
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charlotte Dasch — Director Of Provider Relations · (615) 678-0759
NPI enumeratedOctober 21, 2021
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021
Mailing address401 Church St Ste 1400, Nashville, TN 37219-2214

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