National Provider Identifier Database

LOUISIANA ORAL IMPLANT SURGERY
Oral and Maxillofacial Surgery

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.


Contact Information

LOUISIANA ORAL & IMPLANT SURGERY
4720 LAKE STREET
LAKE CHARLES, LA70605
Phone: 337-888-4771
Fax: 337-888-4772
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for LOUISIANA ORAL & IMPLANT SURGERY

NPI Number 1932759271
Legal business name
LBN
LOUISIANA ORAL & IMPLANT SURGERY
Authorized official NICKOLAS MASKAS - (ORAL AND MAXILLOFACIAL SURGEON/OWNE)
Entity Organization
Organization subpart No
Enumeration date 09/18/2019
Last updated 12/23/2019 - About 6 years 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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