Organization · Type 2 NPI

Lake Jackson Oral and Maxillofacial Surgery, PLLC

Oral and Maxillofacial Surgery (Dentist) · Lake Jackson, TX

NPI number 1831557370 Active

Practice location

103 Abner Jackson Pkwy
Lake Jackson, TX 77566-5163

Fax (979) 299-6166

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X16829 (TX)

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.

2 other providers at this address

About NPI 1831557370

Lake Jackson Oral and Maxillofacial Surgery, PLLC's National Provider Identifier is 1831557370, issued on Jan 28, 2016. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Lake Jackson, TX. The record was last updated on Jan 28, 2016.