Organization · Type 2 NPI
Lakeside Oral & Maxillofacial Surgery
Oral and Maxillofacial Surgery Clinic/Center · Saratoga Springs, UT
NPI number
1417898560
Active
Practice location
1528 N Commerce Dr Ste 203
Saratoga Springs, UT 84045-4031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center Primary | 261QS0112X | None listed |
Oral and Maxillofacial Surgery Clinic/Center: 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.
Another provider at this address
About NPI 1417898560
Lakeside Oral & Maxillofacial Surgery's National Provider Identifier is 1417898560, issued on Apr 2, 2026. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Saratoga Springs, UT. The record was last updated on Apr 2, 2026.