institution
Lake Jackson Oral And Maxillofacial Surgery, Pllc
Oral and Maxillofacial Surgery (Dentist) in Lake Jackson, Texas
NPI 1831557370

Lake Jackson Oral And Maxillofacial Surgery, Pllc is a Oral and Maxillofacial Surgery (Dentist) based in Lake Jackson, TX and is specialized in Oral and Maxillofacial Surgery. Lake Jackson Oral And Maxillofacial Surgery, Pllc practices in Lake Jackson, TX. The NPI Number for Lake Jackson Oral And Maxillofacial Surgery, Pllc is 1831557370 and holds a License No. 16829 (Texas).

The current practice location address for Lake Jackson Oral And Maxillofacial Surgery, Pllc is 103 Abner Jackson Pkwy, Lake Jackson, TX and can be reached out via phone at 979-299-6878 and via fax at 979-299-6166. You can also correspond with Lake Jackson Oral And Maxillofacial Surgery, Pllc through the mailing address at 103 ABNER JACKSON PKWY, LAKE JACKSON, TX - 77566-5163 (mailing address contact number: 979-299-6878).

Location: 103 Abner Jackson Pkwy, Lake Jackson, TX, 77566-5163
institution
Provider Profile Details
NPI Number
1831557370
Provider Name
Lake Jackson Oral And Maxillofacial Surgery, Pllc
Credential
Provider Entity Type
Organization
Address
103 Abner Jackson Pkwy, Lake Jackson, TX, 77566-5163
Phone Number
979-299-6878
Fax Number
979-299-6166
Provider Enumeration Date
01/28/2016
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
3377855 05 TX
institution
Provider Business Practice Location Address Details
Address
103 Abner Jackson Pkwy
City
State
Zip
77566-5163
Phone Number
979-299-6878
Fax Number
979-299-6166
person
Provider Business Mailing Address Details
Address
103 Abner Jackson Pkwy
City
State
Zip
77566-5163
Phone Number
979-299-6878
Fax Number
979-299-6166
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
16829 (Texas)
Definition
The specialty of dentistry which includes 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.
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