LAKESIDE ORAL SURGERY PLLC is an oral and maxillofacial surgery dentist in Oklahoma City, OK. The provider is an oral and maxillofacial surgery dentist specialized in 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. LAKESIDE ORAL SURGERY PLLC NPI is 1013256635. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
3100 W BRITTON RD
SUITE A
OKLAHOMA CITY, OK
ZIP 73120-058
Phone: (405) 751-3312
Fax: (405) 751-3524
The provider's authorized official is Lester L Cowden .
The authorized official title is Owner and has the following contact phone number (405) 751-3312.
The CLIA number assigned to this NPI record is 37D2014020 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 2/1/2013 and was last updated on 2/1/2013.