LOUISIANA ORAL AND IMPLANT SURGERY – NPI #1932759271
Clinic/Center

The specialty of dentistry which includes 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.

Health Care Provider Taxonomy Code for Clinic/Center

LOUISIANA ORAL AND IMPLANT SURGERY is an AHC clinic located in LAKE CHARLES, LA. NPPES has assigned the NPI number 1932759271 to LOUISIANA ORAL AND IMPLANT SURGERY on September 18, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LOUISIANA ORAL AND IMPLANT SURGERY” is a dba name, the actual legal business name for this organization is LOUISIANA ORAL & IMPLANT SURGERY. The primary taxonomy selected by this provider is 261QS0112X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Oral and Maxillofacial Surgery

The NPI profile was previously updated about 6 years ago on Dec 23, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LOUISIANA ORAL AND IMPLANT SURGERY below.

NPI Profile for
LOUISIANA ORAL & IMPLANT SURGERY

NPI Number
1932759271
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LOUISIANA ORAL & IMPLANT SURGERY
Doing Business As (dba): LOUISIANA ORAL AND IMPLANT SURGERY
Primary location
4720 LAKE STREET
LAKE CHARLES, LA 70605
Phone: (337) 888-4771 Fax: (337) 888-4772
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NICKOLAS MASKAS
ORAL AND MAXILLOFACIAL SURGEON/OWNE
Phone: (337) 888-4771
Updated
Certification Date
Dec 23, 2019

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS0112X
- Clinic/Center / Oral and Maxillofacial Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.