OrganizationActive
Northlake Oral and Facial Surgery LLC
NPI 1689925539 · Oral and Maxillofacial Surgery (Dentist) · Slidell, LA
Provider details
- NPI number
- 1689925539
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Nathan Brown, Sole Member(985) 643-1010
- License
- 6298 (LA)
Specialties & taxonomies
Dental Providers
Practice location
1271 7th St
Slidell, LA 70458-2041
Phone: (985) 643-1010
Approximate (ZIP-level) locationGet directions
Mailing address
1271 7th St
Slidell, LA 70458-2041
Registry dates
- Enumerated
- 2012-10-01
- Last updated
- 2012-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.