Provider Demographics
NPI:1013783323
Name:SEXTON-OMS, LLC
Entity Type:Organization
Organization Name:SEXTON-OMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:BARRETT
Authorized Official - Last Name:SEXTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:901-756-8475
Mailing Address - Street 1:1661 AARON BRENNER DR STE 105
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-1467
Mailing Address - Country:US
Mailing Address - Phone:901-756-8475
Mailing Address - Fax:
Practice Address - Street 1:1661 AARON BRENNER DR STE 105
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-1467
Practice Address - Country:US
Practice Address - Phone:901-756-8475
Practice Address - Fax:901-756-7820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty