Lake 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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.