Lake Jackson Oral And Maxillofacial Surgery, Pllc
Oral and Maxillofacial Dental Clinic
103 Abner Jackson Pkwy, Lake Jackson
Texas, 77566-5163
979-299-6878 979-299-6166
Maps & DirectionsLake Jackson Oral And Maxillofacial Surgery, Pllc is a Oral and Maxillofacial Dental Clinic in Lake Jackson, Texas. It is located at 103 Abner Jackson Pkwy, Lake Jackson, TX and its contact number is 979-299-6878. The authorized person for Lake Jackson Oral And Maxillofacial Surgery, Pllc is Nathan Phillips
who is Provider of the clinic and their contact number is 979-299-6878. The primary license number for Lake Jackson Oral And Maxillofacial Surgery, Pllc is 16829 (Oral and Maxillofacial Surgery) in Texas.
Lake Jackson Oral And Maxillofacial Surgery, Pllc Clinic deals with 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.
Complete Clinic Profile:
Lake Jackson Oral And Maxillofacial Surgery, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Lake Jackson Oral And Maxillofacial Surgery, Pllc |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 103 Abner Jackson Pkwy, Lake Jackson,
Texas, 77566-5163 |
| Phone: | 979-299-6878 |
| Fax: | 979-299-6166 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Nathan Phillips |
| Position: | Provider |
| Contact Number: | 979-299-6878 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Lake Jackson Oral And Maxillofacial Surgery, Pllc clinic are as mentioned below.
| NPI Number: | 1831557370 |
| NPI Enumeration Date: | 28 Jan, 2016 |
| NPI Last Update On: | 28 Jan, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lake Jackson Oral And Maxillofacial Surgery, Pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | 16829 | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3377855 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Lake Jackson Oral And Maxillofacial Surgery, Pllc
103 Abner Jackson Pkwy,
Lake Jackson, Texas |
| Zip: | 77566-5163 |
| Phone Number: | 979-299-6878 |
| Fax Number: | 979-299-6166 |
Patients can reach Lake Jackson Oral And Maxillofacial Surgery, Pllc at
103 Abner Jackson Pkwy, Lake Jackson, Texas or can
call to book an appointment on 979-299-6878.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.