Active NPI
Lakeside Oral Surgery PLLC
- Oral and Maxillofacial Surgery (Dentist)
- Oklahoma City, OK
National Provider Identifier
1013256635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- LAKESIDE ORAL SURGERY PLLC
- Practice address
- 3100 W Britton Rd
Suite a
Oklahoma City, OK 73120-2058 - Phone
- (405) 751-3312
- Fax
- (405) 751-3524
- NPI assigned
- Feb 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lester L Cowden III, DDS
- Title
- Owner
- Phone
- (405) 751-3312
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
3100 W Britton Rd
Suite a
Oklahoma City, OK 73120-2058
Mailing address
3100 W Britton Rd
Suite a
Oklahoma City, OK 73120-2058
Phone (405) 751-3312
National Provider Directory
National Provider DirectoryLocations
3100 W Britton Rd
Ste A
Oklahoma City, OK 73120
Phone (405) 751-3312
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Oklahoma City, OK
- NPI 1124133061
-
- Oral and Maxillofacial Surgery (Dentist)
- Oklahoma City, OK
- NPI 1427148394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359676800000",
"number": "1013256635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 W BRITTON RD",
"address_2": "SUITE A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731202058",
"telephone_number": "405-751-3312",
"fax_number": "405-751-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 W BRITTON RD",
"address_2": "SUITE A",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731202058",
"telephone_number": "405-751-3312",
"fax_number": "405-751-3524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKESIDE ORAL SURGERY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-01",
"last_updated": "2013-02-01",
"status": "A",
"authorized_official_last_name": "COWDEN",
"authorized_official_first_name": "LESTER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-751-3312",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.