Organization · Type 2 NPI
Lakeside Oral Surgery PLLC
Oral and Maxillofacial Surgery (Dentist) · Oklahoma City, OK
NPI number
1013256635
Active
Practice location
3100 W Britton Rd, Suite A
Oklahoma City, OK 73120-2058
Fax (405) 751-3524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1013256635
Lakeside Oral Surgery PLLC's National Provider Identifier is 1013256635, issued on Feb 1, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Oklahoma City, OK. The record was last updated on Feb 1, 2013.