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LAKESIDE ORAL & MAXILLOFACIAL SURGERY
NPI 1417898560
Clinic/Center - Oral and Maxillofacial Surgery in Saratoga Springs, UT

Active since April 02, 2026
1528 N COMMERCE DR STE 203, SARATOGA SPRINGS, UT 84045(801) 224-1200 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeside Oral & Maxillofacial Surgery NPPES

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

LAKESIDE ORAL & MAXILLOFACIAL SURGERY (NPI 1417898560) is a healthcare organization registered as an oral and maxillofacial surgery in Saratoga Springs, Utah and active in the NPI registry since April 2026. The organization lists Jared E. Rasmussen, Owner, as its authorized official.

NPPES Registry Identity

NPI1417898560
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NameLAKESIDE ORAL & MAXILLOFACIAL SURGERY
Location Address1528 N COMMERCE DR STE 203Saratoga Springs, UT 84045-4031
Mailing Address1528 N Commerce Dr Ste 203Saratoga Springs, UT 84045-4031 · (801) 224-1200
Phone(801) 224-1200
Organization SubpartNo
Authorized OfficialJared E. RasmussenOwner · (972) 977-6587
Enumeration DateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1417898560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
Definition
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.
1528 N COMMERCE DR STE 203, Saratoga Springs, UT 84045
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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 & Maxillofacial Surgery's NPI number?

The NPI number for Lakeside Oral & Maxillofacial Surgery is 1417898560. It was assigned to this organization in the NPPES registry on April 2, 2026.

Where is Lakeside Oral & Maxillofacial Surgery located?

Lakeside Oral & Maxillofacial Surgery is located at 1528 N Commerce Dr Ste 203, Saratoga Springs, UT 84045. The listed phone number is (801) 224-1200.

What is Lakeside Oral & Maxillofacial Surgery's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Lakeside Oral & Maxillofacial Surgery was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.