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

Lakeside Oral & Maxillofacial Surgery

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1417898560

Lakeside Oral & Maxillofacial Surgery is an Oral and Maxillofacial Surgery Clinic/Center in Saratoga Springs, Utah. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1528 N Commerce Dr Ste 203
Saratoga Springs, UT 84045-4031
Phone: (801) 224-1200
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X

Record details

NPI number1417898560
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jared Rasmussen — Owner · (972) 977-6587
NPI enumeratedApril 2, 2026
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address1528 N Commerce Dr Ste 203, Saratoga Springs, UT 84045-4031