Lakeside Oral Surgery, LLC
Lakeside Oral Surgery, LLC is an Oral & Maxillofacial Surgery (D.M.D.) in Eatonton, Georgia. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1097 Lake Oconee Pkwy Ste 101Eatonton, GA 31024-9510
Phone: (706) 916-4764
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Oral & Maxillofacial Surgery (D.M.D.) (primary) | Taxonomy 204E00000X |
|---|
Record details
| NPI number | 1225732472 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jennifer Tomlinson — Credentialing Specialist · (404) 410-1340 |
| NPI enumerated | March 29, 2023 |
| Last updated in NPPES | March 29, 2023 |
| Certification date | March 29, 2023 |
| Mailing address | 1097 Lake Oconee Pkwy Ste 101, Eatonton, GA 31024-9510 |