Lakes Regional Oral & Maxillofacial Surgery, PC
Dentist, Oral and Maxillofacial Surgery in Spencer, IA. Organization (NPI-2).
NPI number1760637185
StatusActive
Last updated in NPPESNov 26, 2008
Details
- NPI
- 1760637185
- Entity type
- Organization (NPI-2)
- Legal business name
- Lakes Regional Oral & Maxillofacial Surgery, PC
- Organization subpart
- No
- Enumeration date
- Nov 26, 2008
- Last updated
- Nov 26, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | – | IA | Yes |
Practice location
116 E 11th StSuite 203
Spencer, IA 51301-4364
Phone 712-264-8390 · Fax 712-264-8391
Mailing address
116 E 11th StSuite 203
Spencer, IA 51301-4364
Phone 712-264-8390 · Fax 712-264-8391
Authorized official
Steven R Evelhoch
Owner
7122648390
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Other Oral and Maxillofacial Surgery (Dentist) providers in Spencer, IA
- Adam L Holton, DDSNPI 1225419591
- Jaden Patrick Holton, DDSNPI 1023633351
- Holton Oral And Maxillofacial SurgeryNPI 1902781925
- John Benjamin Synhorst, D.D.SNPI 1598760605
All 5 Oral and Maxillofacial Surgery (Dentist) providers in Spencer · All 467 providers in Spencer
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