Individual provider · Type 1 NPI
Nickolas Stanley Maskas, DDS
Oral and Maxillofacial Surgery (Dentist) · Lake Charles, LA
NPI number
1679913222
Active
Practice location
4720 Lake Street
Lake Charles, LA 70605
Fax (337) 888-4772
Other practice locations
- 1395 Center Dr # D7-6, Box 100416, Gainesville, FL 32610-0416 · (352) 273-6750
- 5656 Nelson Rd Ste C1, Lake Charles, LA 70605 · (337) 888-4771
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 1190 (FL) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 6365 (LA) |
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.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Lake Charles
About NPI 1679913222
Nickolas Stanley Maskas, DDS's National Provider Identifier is 1679913222, issued on Jun 27, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lake Charles, LA. The record was last updated on Dec 20, 2019.