Lakeside Oral & Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

LAKESIDE ORAL & MAXILLOFACIAL SURGERY

Practice address

1528 N Commerce Dr Ste 203
Saratoga Springs, UT 84045-4031

Phone

(801) 224-1200

NPI assigned

Apr 2, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jared E. Rasmussen, MD, DMDNPI 1417157355

Title

Owner

Phone

(972) 977-6587

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jared E. Rasmussen, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Saratoga Springs, UT
  • NPI 1417157355
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1417898560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 N COMMERCE DR STE 203",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840454031",
            "telephone_number": "801-224-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 N COMMERCE DR STE 203",
            "city": "SARATOGA SPRINGS",
            "state": "UT",
            "postal_code": "840454031",
            "telephone_number": "801-224-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "RASMUSSEN",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-977-6587",
        "authorized_official_credential": "MD, DMD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Knox
• Thomas Krieger
• Adam B Labrum, DPT
• Lake Mountain Counseling
• Lake Mountain School District
• Milan Lamjav
• Celeste Lane
• Taylor Langford, PHARMD
• Shelby Larsen
• Camille Elisabeth Last, FNP

• Oral and Maxillofacial Surgery Clinic/Center in Saratoga Springs, UT
• Providers in Saratoga Springs, UT by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.