Organization
LAKESIDE ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED E. RASMUSSEN MD, DMD (OWNER)
(972) 977-6587
Entity
Organization
Contact information
Practice address
1528 N COMMERCE DR STE 203, SARATOGA SPRINGS, UT 84045-4031
(801) 224-1200
Mailing address
1528 N COMMERCE DR STE 203, SARATOGA SPRINGS, UT 84045-4031
(801) 224-1200
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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