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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKESIDE ORAL SURGERY, LLC

Active Organization

LAKESIDE ORAL SURGERY, LLC is a Oral & Maxillofacial Surgery (Physician) organization located in EATONTON, Georgia. NPI 1225732472 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery (Physician) · EATONTON, GA

Registration Details

NPI Number
1225732472
Provider Type
Organization
NPI Issued
Mar 29, 2023 (3.4084356143825 yrs)
Last Updated
Mar 29, 2023

Practice Information

Address
1097 LAKE OCONEE PKWY STE 101
EATONTON, GA, 310249510
Browse GA providers · Browse ZIP 31024
Phone
7069164764
Primary Specialty
Oral & Maxillofacial Surgery (Physician)
204E00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.