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COLLEGE STATION ORAL SURGERY, PLLC
NPI 1477101053
Oral & Maxillofacial Surgery in College Station, TX

Active since August 28, 2019
1645 GREENS PRAIRIE RD W STE 202, COLLEGE STATION, TX 77845(979) 316-5000 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About College Station Oral Surgery, Pllc NPPES

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

COLLEGE STATION ORAL SURGERY, PLLC (NPI 1477101053) is a healthcare organization registered as an oral & maxillofacial surgery in College Station, Texas and active in the NPI registry since August 2019. The organization lists Jackie Carranza, General Manager, as its authorized official.

NPPES Registry Identity

NPI1477101053
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameCOLLEGE STATION ORAL SURGERY, PLLC
Location Address1645 GREENS PRAIRIE RD W STE 202College Station, TX 77845-8414
Mailing Address24437 Katy Fwy Ste 500Katy, TX 77494-1469 · (281) 394-9340
Phone(979) 316-5000
Organization SubpartNo
Authorized OfficialJackie CarranzaGeneral Manager · (979) 316-5000
Enumeration DateAugust 28, 2019
✔ NPI 1477101053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
1645 GREENS PRAIRIE RD W STE 202, College Station, TX 77845
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 College Station Oral Surgery, PLLC's NPI number?

The NPI number for College Station Oral Surgery, PLLC is 1477101053. It was assigned to this organization in the NPPES registry on August 28, 2019.

Where is College Station Oral Surgery, PLLC located?

College Station Oral Surgery, PLLC is located at 1645 Greens Prairie Rd W Ste 202, College Station, TX 77845. The listed phone number is (979) 316-5000.

What is College Station Oral Surgery, PLLC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for College Station Oral Surgery, PLLC was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.