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LAKESIDE ORAL SURGERY & DENTAL IMPLANTS
NPI 1548607633
Oral & Maxillofacial Surgery in Coeur D Alene, ID

Active since May 29, 2013
980 W IRONWOOD DR STE 301, COEUR D ALENE, ID 83814(208) 664-0844(208) 664-9682 Get Directions Write a Review

NPPES record last updated: May 29, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lakeside Oral Surgery & Dental Implants NPPES

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

LAKESIDE ORAL SURGERY & DENTAL IMPLANTS (NPI 1548607633) is a healthcare organization registered as an oral & maxillofacial surgery in Coeur D Alene, Idaho and active in the NPI registry since May 2013. The organization lists John Robert Haynie, Owner, as its authorized official.

NPPES Registry Identity

NPI1548607633
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameJ.R. HAYNIE DDS PC
Location Address980 W IRONWOOD DR STE 301Coeur D Alene, ID 83814-2668
Mailing Address980 W Ironwood Dr Ste 301Coeur D Alene, ID 83814-2668 · (208) 664-0844 · Fax (208) 664-9682
Phone(208) 664-0844
Fax(208) 664-9682
Organization SubpartNo
Authorized OfficialJohn Robert HaynieOwner · (614) 460-1181
Enumeration DateMay 29, 2013
✔ NPI 1548607633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in ID · N-13145
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.
980 W IRONWOOD DR STE 301, Coeur D Alene, ID 83814
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Other Names 1

Doing Business AsLakeside Oral Surgery & Dental Implants

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

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 J.R. Haynie Dds PC's NPI number?

The NPI number for J.R. Haynie Dds PC is 1548607633. It was assigned to this organization in the NPPES registry on May 29, 2013. The provider is doing business as Lakeside Oral Surgery & Dental Implants.

Where is J.R. Haynie Dds PC located?

J.R. Haynie Dds PC is located at 980 W Ironwood Dr Ste 301, Coeur D Alene, ID 83814. The listed phone number is (208) 664-0844.

What is J.R. Haynie Dds PC'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 J.R. Haynie Dds PC was last updated on May 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.