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: July 19, 2026.

  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery

About ORAL & MAXILLOFACIAL SURGERY OF ABILENE PLLC

This page provides the complete NPI Profile along with additional information for Oral & Maxillofacial Surgery Of Abilene Pllc, a provider established in Abilene, Texas operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1104167055 assigned on March 2013. The practitioner's primary taxonomy code is 1223S0112X with license number 24237 (TX). The provider is registered as an organization and their NPI record was last updated 13 years ago. Oral & Maxillofacial Surgery Of Abilene Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Ryan Green Dds, Md (President)

NPI
1104167055 Verify this NPI
Provider Name
ORAL & MAXILLOFACIAL SURGERY OF ABILENE PLLC
Entity Type
Organization
Location Address
1904 PINE ST STE 1D ABILENE, TX 79601
Location Phone
(325) 232-8939
Location Fax
(325) 232-8943
Mailing Address
1904 PINE ST STE 1D ABILENE, TX 79601
Mailing Phone
(325) 232-8939
Mailing Fax
(325) 232-8943
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-01-2013
Last Update Date
03-01-2013
Code Navigator

A dentist like Oral & Maxillofacial Surgery Of Abilene Pllc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
License No.
24237
License State
TX
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

N4439 (TX)
2208600000XAllopathic & Osteopathic Physicians

Surgery

N4439 (TX)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RYAN GREEN DDS, MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(325) 232-8939

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Internal Medicine (Nephrology)
1904 PINE ST STE 1D
ABILENE, TX 79601
Internal Medicine (Nephrology)
1904 PINE ST STE 1D
ABILENE, TX 79601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104167055, enumerated as an "organization" on March 01, 2013.

The provider is located at 1904 PINE ST STE 1D ABILENE, TX 79601 and the phone number is (325) 232-8939.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.