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LOUISIANA ORAL & IMPLANT SURGERY NPI 1932759271


NPI Information

NPI: 1932759271
Provider Name: LOUISIANA ORAL & IMPLANT SURGERY

Doing Business As: LOUISIANA ORAL AND IMPLANT SURGERY

Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
4720 LAKE STREET
LAKE CHARLES, LA
ZIP 70605
Phone: (337) 888-4771
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LOUISIANA ORAL & IMPLANT SURGERY is an oral and maxillofacial surgery clinic center in Lake Charles, LA. The provider is an oral and maxillofacial surgery clinic or center 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. LOUISIANA ORAL & IMPLANT SURGERY NPI is 1932759271. The provider is registered as an organization entity type.
The provider Is Doing Business As Louisiana Oral And Implant Surgery.

The provider's business location address is:

4720 LAKE STREET
LAKE CHARLES, LA
ZIP 70605
Phone: (337) 888-4771
Fax: (337) 888-4772

The provider's authorized official is Nickolas Maskas .
The authorized official title is Oral And Maxillofacial Surgeon/owne and has the following contact phone number (337) 888-4771.

The enumeration date for this NPI number is 9/18/2019 and was last updated on 12/23/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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