NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Lake Jackson Oral and Maxillofacial Surgery, Pllc

Oral and Maxillofacial Surgery (Dentist) in Lake Jackson, TX · enumerated 2016 · authorized official Nathan Phillips, Provider.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1831557370

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Lake Jackson Oral and Maxillofacial Surgery, Pllc
Practice address 103 Abner Jackson Pkwy, Lake Jackson, TX, 77566
Phone (979) 299-6878
Fax (979) 299-6166
Enumeration date Jan 28, 2016
Last updated in NPPES Jan 28, 2016

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers · License 16829 (TX) Primary

Authorized official

Name Nathan Phillips
Title Provider
Phone (979) 299-6878

Other identifiers

Identifier Type State Issuer
3377855 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Lake Jackson Oral and Maxillofacial Surgery, Pllc?
Lake Jackson Oral and Maxillofacial Surgery, Pllc is registered in NPPES as a Oral and Maxillofacial Surgery (Dentist) (its primary provider taxonomy).

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-01-28.