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ORAL & MAXILLOFACIAL SURGERY OF ABILENE PLLC
NPI 1104167055
Dentist - Oral and Maxillofacial Surgery in Abilene, TX

Active since March 01, 2013
1904 PINE ST STE 1D, ABILENE, TX 79601(325) 232-8939(325) 232-8943 Get Directions Write a Review

NPPES record last updated: March 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Oral & Maxillofacial Surgery Of Abilene Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORAL & MAXILLOFACIAL SURGERY OF ABILENE PLLC (NPI 1104167055) is a healthcare organization registered as an oral and maxillofacial surgery in Abilene, Texas and active in the NPI registry since March 2013. The organization lists Ryan Green, President, as its authorized official.

NPPES Registry Identity

NPI1104167055
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL & MAXILLOFACIAL SURGERY OF ABILENE PLLC
Location Address1904 PINE ST STE 1DAbilene, TX 79601-2450
Mailing Address1904 Pine St Ste 1dAbilene, TX 79601-2450 · (325) 232-8939 · Fax (325) 232-8943
Phone(325) 232-8939
Fax(325) 232-8943
Organization SubpartNo
Authorized OfficialRyan GreenPresident · (325) 232-8939
Enumeration DateMarch 1, 2013
✔ NPI 1104167055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · 24237
Definition
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.
Also ListedSpecialistTaxonomy 174400000X · License N4439 (TX)
Also ListedSurgeryTaxonomy 208600000X · License N4439 (TX)
1904 PINE ST STE 1D, Abilene, TX 79601
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHAMMAD MAHER AL SAYYAD MD, FACP
Internal Medicine (Nephrology)
1904 PINE ST STE 1D
ABILENE, TX 79601
Jones County (325) 673-4757
JAMES D WEBSTER MD & ASSOCIATES
Internal Medicine (Nephrology)
1904 PINE ST STE 1D
ABILENE, TX 79601
Jones County (325) 673-4757

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Oral & Maxillofacial Surgery Of Abilene PLLC's NPI number?

The NPI number for Oral & Maxillofacial Surgery Of Abilene PLLC is 1104167055. It was assigned to this organization in the NPPES registry on March 1, 2013.

Where is Oral & Maxillofacial Surgery Of Abilene PLLC located?

Oral & Maxillofacial Surgery Of Abilene PLLC is located at 1904 Pine St Ste 1D, Abilene, TX 79601. The listed phone number is (325) 232-8939.

What is Oral & Maxillofacial Surgery Of Abilene PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Oral & Maxillofacial Surgery Of Abilene PLLC was last updated on March 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.