OrganizationActive
Lakeside Oral Surgery, LLC
NPI 1225732472 · Oral & Maxillofacial Surgery (D.M.D.) · Eatonton, GA
Provider details
- NPI number
- 1225732472
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jennifer Tomlinson, Credentialing Specialist(404) 410-1340
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1097 Lake Oconee Pkwy Ste 101
Eatonton, GA 31024-9510
Phone: (706) 916-4764
Approximate (ZIP-level) locationGet directions
Mailing address
1097 Lake Oconee Pkwy Ste 101
Eatonton, GA 31024-9510
Registry dates
- Enumerated
- 2023-03-29
- Last updated
- 2023-03-29
- Certified
- 2023-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.