LOUISIANA ORAL & IMPLANT SURGERY; NPI #1932759271

Contact Information

LOUISIANA ORAL & IMPLANT SURGERY

4720 LAKE STREET
LAKE CHARLES, LA 70605

Phone: 337-888-4771
Fax: 337-888-4772
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for LOUISIANA ORAL & IMPLANT SURGERY

NPI Number	`1932759271`
LBN Legal business name	LOUISIANA ORAL & IMPLANT SURGERY
Authorized official	NICKOLAS MASKAS - (ORAL AND MAXILLOFACIAL SURGEON/OWNE)
Entity	Organization
Organization subpart ¹	No
Enumeration date	09/18/2019
Last updated	12/23/2019 - About 6 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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