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LAKESIDE ORAL SURGERY, LLC
NPI 1225732472
Oral & Maxillofacial Surgery in Eatonton, GA

Active since March 29, 2023
1097 LAKE OCONEE PKWY STE 101, EATONTON, GA 31024(706) 916-4764 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Lakeside Oral Surgery, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESIDE ORAL SURGERY, LLC (NPI 1225732472) is a healthcare organization registered as an oral & maxillofacial surgery in Eatonton, Georgia and active in the NPI registry since March 2023. The organization lists Jennifer Tomlinson, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1225732472
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameLAKESIDE ORAL SURGERY, LLC
Location Address1097 LAKE OCONEE PKWY STE 101Eatonton, GA 31024-9510
Mailing Address1097 Lake Oconee Pkwy Ste 101Eatonton, GA 31024-9510 · (706) 916-4764
Phone(706) 916-4764
Organization SubpartNo
Authorized OfficialJennifer TomlinsonCredentialing Specialist · (404) 410-1340
Enumeration DateMarch 29, 2023
NPPES CertifiedMarch 29, 2023
✔ NPI 1225732472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
1097 LAKE OCONEE PKWY STE 101, Eatonton, GA 31024
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LEE MCLEAN WHITESIDES DMD
Oral & Maxillofacial Surgery
1097 LAKE OCONEE PKWY STE 101
EATONTON, GA 31024
Putnam County (706) 916-4764

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeside Oral Surgery, LLC's NPI number?

The NPI number for Lakeside Oral Surgery, LLC is 1225732472. It was assigned to this organization in the NPPES registry on March 29, 2023.

Where is Lakeside Oral Surgery, LLC located?

Lakeside Oral Surgery, LLC is located at 1097 Lake Oconee Pkwy Ste 101, Eatonton, GA 31024. The listed phone number is (706) 916-4764.

What is Lakeside Oral Surgery, LLC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Lakeside Oral Surgery, LLC was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.