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.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Oral and Maxillofacial Surgery | 261QS0112X |
* Indicates primary specialty
| NPI Number | 1417898560 |
| Legal business name LBN |
LAKESIDE ORAL & MAXILLOFACIAL SURGERY |
| Authorized official | JARED RASMUSSEN - (OWNER) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 04/02/2026 |
| Last updated | 04/02/2026 - About 2 months ago |
| Sole proprietor1 | Not specified |
| Identifiers | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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