OrganizationActive
Lakeside Oral & Maxillofacial Surgery
NPI 1417898560 · Oral and Maxillofacial Surgery Clinic/Center · Saratoga Springs, UT
Provider details
- NPI number
- 1417898560
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jared Rasmussen, Owner(972) 977-6587
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1528 N Commerce Dr Ste 203
Saratoga Springs, UT 84045-4031
Phone: (801) 224-1200
Approximate (ZIP-level) locationGet directions
Mailing address
1528 N Commerce Dr Ste 203
Saratoga Springs, UT 84045-4031
Registry dates
- Enumerated
- 2026-04-02
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.