NPI age
10 years
Enumerated 2016-01-28
● Active Type 2 · Organization
Lake Jackson Oral And Maxillofacial Surgery, Pllc
Lake Jackson Oral And Maxillofacial Surgery, Pllc is 1 of 935 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Phillips
Provider
Last NPPES update
2016-01-28
Source: monthly bulk 2026-05
How this organization compares
Across 935 active dentist providers in Texas.
NPI age
10 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2016 → 2026
2016-01Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
103 Abner Jackson Pkwy
Lake Jackson, TX 775665163
Mailing address
103 Abner Jackson Pkwy
Lake Jackson, TX 775665163
Authorized official
Nathan Phillips, DDS
Provider
📞 9792996878
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Richard Fugler, DDS , MD Dentist NPI 1609932078
- Ginger Stagg, DDS Dentist NPI 1740374636
Specialties
-
Dentist PrimaryThe 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 3377855 |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 935 Dentist providers in Texas?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.