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PEARLAND ORAL & MAXILLOFACIAL SURGERY ASSOCIATES PLLC NPI 1053591479


NPI Information

NPI: 1053591479
Provider Name: PEARLAND ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, PLLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
10905 MEMORIAL HERMANN DR
SUITE 100
PEARLAND, TX
ZIP 77584
Phone: (713) 340-0515
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PEARLAND ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, PLLC is an oral and maxillofacial surgery dentist in Pearland, TX. The provider is an oral and maxillofacial surgery dentist specialized in 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. PEARLAND ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, PLLC NPI is 1053591479. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10905 MEMORIAL HERMANN DR
SUITE 100
PEARLAND, TX
ZIP 77584-490
Phone: (713) 340-0515
Fax: (713) 340-0518

The provider's authorized official is Rosanne Marie Farris .
The authorized official title is Office Manager and has the following contact phone number (832) 687-4359.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 11/14/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery22872TEXASNo
21223S0112XDentistOral and Maxillofacial Surgery20025TEXASNo
31223S0112XDentistOral and Maxillofacial Surgery19665TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11043249287OTHERTEXASNPI
21750438735OTHERTEXASNPI
3U78649MEDICARE UPINTEXAS
41457483372OTHERTEXASNPI
5V06405MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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