Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakes Region Dental Implant and Oral Surgery Center, PA

Organization Oral and Maxillofacial Pathology Dentistry · NPI 1265721534

Lakes Region Dental Implant and Oral Surgery Center, PA is an Oral and Maxillofacial Pathology Dentistry in Gilford, New Hampshire. Registered with an NPI since 2011.

In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

369 Hounsell Ave Ste 2
Gilford, NH 03249
Phone: (603) 527-8057
Fax: (603) 527-8159
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Pathology Dentistry (primary) Taxonomy 1223P0106X

Record details

NPI number1265721534
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Detolla — President · (603) 436-3608
NPI enumeratedApril 7, 2011
Last updated in NPPESApril 7, 2011
Mailing address369 Hounsell Ave, Suite 2, Gilford, NH 03249