LAKES REGIONAL ORAL & MAXILLOFACIAL SURGERY, PC


Address: 116 E 11th St, Suite 203, Spencer, IA 51301-4364
Phone: 7122648390

LAKES REGIONAL ORAL & MAXILLOFACIAL SURGERY, PC (NPI# 1760637185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760637185
Entity Type Organization
Organization Name LAKES REGIONAL ORAL & MAXILLOFACIAL SURGERY, PC
Practice Address 116 E 11th St
Suite 203
Spencer
IA 51301-4364
Practice Telephone 7122648390
Practice Fax Number 7122648391
Mailing Telephone 7122648390
Mailing Fax Number 7122648391
Enumeration Date 2008-11-26
Last Update Date 2008-11-26
Authorized Official Name STEVEN R EVELHOCH (OWNER)
Authorized Official Telephone 7122648390
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
IA Dental Providers

Office Location

Street Address 116 E 11TH ST
SUITE 203
City SPENCER
State IA
Zip Code 51301-4364

Providers in the same location

NPI Name Taxonomy Address Enumeration
1598760605 John Benjamin Synhorst II Dentist 116 E 11th St, Ste 201, Spencer, IA 51301-4363 2005-06-15
1467821116 Briana Wetrich Physician Assistant 116 E 11th St, Suite 101, Spencer, IA 51301-4300 2015-09-23
1780062273 Spencer Municipal Hospital Family Medicine 116 E 11th St, Suite 101, Spencer, IA 51301-4365 2015-05-15
1720401961 Megan Vanotterloo Nurse Practitioner 116 E 11th St, Suite 101, Spencer, IA 51301-4300 2014-01-23
1225468812 Karen Potaczek, D.d.s., P.C. Oral & Maxillofacial Surgery 116 E 11th St, Suite 201, Spencer, IA 51301-4393 2013-11-18
1386938926 Hilary L Kerrick Family Medicine 116 E 11th St, Suite 101, Spencer, IA 51301-4300 2011-05-31
1144534702 Avera Home Medical Equipment of Spencer Hospital LLC Durable Medical Equipment & Medical Supplies 116 E 11th St, Suite 104, Spencer, IA 51301-4300 2010-08-05
1669793808 David Stephen Keith Family Medicine 116 E 11th St, Suite 101, Spencer, IA 51301-4300 2010-06-22
1124344833 Travis J. Witt Family Medicine 116 E 11th St, Suite 101, Spencer, IA 51301-4300 2010-04-20
1003046939 Kathi Kae Heckert Nurse Practitioner 116 E 11th St, Ste 101, Spencer, IA 51301-4300 2009-07-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508331877 Angie Marie Wigen Occupational Therapy Assistant 1202 11 Th Ave Se, Spencer, IA 51301 2018-10-12
1184040511 Leisha Fischer Nurse Practitioner 116 East 7th Street, Suite 2, Spencer, IA 51301 2014-03-10
1427482199 Mark Alan De Ruyter Social Worker 116 E. 11th St., Spencer, IA 51301 2013-08-29
1467894873 Daniel Wesley Abbott Pathology 116 E 11th St Ste 204, Spencer, IA 51301 2013-07-26
1730437542 Spencer Convenient Healthcare LLC Clinic/Center 116 E. 7th Street, Suite 2, Spencer, IA 51301 2012-08-28
1114065109 David W Lawrence Audiologist-Hearing Aid Fitter 920 North Grand Ave., Spencer, IA 51301 2007-02-02
1548328925 Burns Chiropractic Center P C Chiropractor 1210 West 18th St, Spencer, IA 51301 2006-12-05
1073692661 Gary Vanhofwegen Dentist 18 West 4th St, Spencer, IA 51301 2006-11-03
1952494114 Medicap Pharmacy Pharmacy 829 Grand Ave N, Spencer, IA 51301 2006-10-02
1326131012 Douglas J Schwartz Chiropractor 1204 West 18th St, Spencer, IA 51301 2006-10-02
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073532644 Melanie Kristen Marshall Dentist 902 S Salisbury Ave, Spencer, NC 28159-2065 2006-07-18
1598760605 John Benjamin Synhorst II Dentist 116 E 11th St, Ste 201, Spencer, IA 51301-4363 2005-06-15
1073782033 Melanie K. Marshall, Dds, Md, Pa Dentist 902 S Salisbury Ave, Spencer, NC 28159-2065 2008-02-25
1700089513 Karen Potaczek Dentist 116 E 11th St, Suite 201, Spencer, IA 51301-4393 2007-06-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154970655 Advanced Oral Surgery, Pllc Dentist 3265 S 24th St, Council Bluffs, IA 51501-6901 2019-09-06
1528421237 Timothy Scott Albright Dentist 2814 Northgate Dr Ste 2, Iowa City, IA 52245-9513 2016-03-30
1467846519 Edward H Schaefer Iv Dentist 201 Ridge St Ste 308, Council Bluffs, IA 51503-4643 2015-03-26
1386087658 Michael Morio Dentist 7400 Fleur Dr Ste 200, Des Moines, IA 50321-3105 2013-04-16
1245550003 Douglas Kendrick Dentist 451 Dental Science Bldg S, Iowa City, IA 52242-1001 2010-06-03
1013234194 Ryan Norman Borgwardt Dentist 820 Fisher Drive, Waterloo, IA 50701 2010-04-28
1689802910 Benjamin Luke Fuller Dentist 835 3rd Ave Sw, Cedar Rapids, IA 52404-1810 2009-06-25
1801093067 Ryan A Marsh Dentist 7400 Fleur Dr, Ste 200, Des Moines, IA 50321-3105 2007-06-29
1386847630 John D. Janulewicz Dentist 7400 Fleur Drive, Suite 200, Des Moines, IA 50321-3104 2007-06-06
1396952297 Jonathan R Dejong Dentist 804 Kenyon Rd Ste 120, Fort Dodge, IA 50501-5746 2007-05-17
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Competitor

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City SPENCER
Zip Code 51301

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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