LAKESIDE ORAL SURGERY, LLC; NPI #1225732472

Contact Information

LAKESIDE ORAL SURGERY, LLC

1097 LAKE OCONEE PKWY STE 101
EATONTON, GA 31024-9510

Phone: 706-916-4764
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral & Maxillofacial Surgery	204E00000X	02	Physician/General Surgery

Indicates primary specialty

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NPI Profile & details for LAKESIDE ORAL SURGERY, LLC

NPI #	`1225732472`
LBN Legal business name	LAKESIDE ORAL SURGERY, LLC
Authorized official	JENNIFER TOMLINSON - (CREDENTIALING SPECIALIST)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/29/2023
Last updated	03/29/2023 - About 3 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LAKESIDE ORAL SURGERY, LLC

Contact Information

Specialty

Oral & Maxillofacial Surgery

NPI Profile & details for LAKESIDE ORAL SURGERY, LLC

Reviews for LAKESIDE ORAL SURGERY, LLC