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ORAL & MAXILLOFACIAL SURGERY OF ABILENE PLLC NPI 1104167055


NPI Information

NPI: 1104167055
Provider Name: ORAL & MAXILLOFACIAL SURGERY OF ABILENE PLLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1904 PINE ST STE 1D
ABILENE, TX
ZIP 79601
Phone: (325) 232-8939
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ORAL & MAXILLOFACIAL SURGERY OF ABILENE PLLC is an oral and maxillofacial surgery dentist in Abilene, 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. ORAL & MAXILLOFACIAL SURGERY OF ABILENE PLLC NPI is 1104167055. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1904 PINE ST STE 1D
ABILENE, TX
ZIP 79601-450
Phone: (325) 232-8939
Fax: (325) 232-8943

The provider's authorized official is Ryan Green .
The authorized official title is President and has the following contact phone number (325) 232-8939.

The enumeration date for this NPI number is 3/1/2013 and was last updated on 3/1/2013.


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 Surgery24237TEXASYes
2174400000XSpecialistN4439TEXASNo
3208600000XSurgeryN4439TEXASNo

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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