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OBSIDIAN MANAGEMENT GROUP LLC
NPI 1477216620
Dentist - Oral and Maxillofacial Surgery in The Woodlands, TX

Active since October 14, 2021
3117 COLLEGE PARK DR STE 150, THE WOODLANDS, TX 77384(936) 231-8568(936) 447-9738 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 4, 2021, Oct 14, 2021 (2 updates tracked since 2021).

About Obsidian Management Group Llc NPPES

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

OBSIDIAN MANAGEMENT GROUP LLC (NPI 1477216620), doing business as Titanium Oral, Facial & Implants Surgical Arts, is a healthcare organization registered as an oral and maxillofacial surgery in The Woodlands, Texas and active in the NPI registry since October 2021. The organization lists Becky Berrill, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1477216620
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameOBSIDIAN MANAGEMENT GROUP LLC
Location Address3117 COLLEGE PARK DR STE 150The Woodlands, TX 77384-4192
Mailing Address3117 College Park Dr Ste 150The Woodlands, TX 77384-4192 · (936) 231-8568
Phone(936) 231-8568
Fax(936) 447-9738
Organization SubpartNo
Authorized OfficialBecky BerrillOffice Manager · (936) 231-8568
Enumeration DateOctober 14, 2021
Last NPPES UpdateNovember 4, 20212 updates tracked since enumeration
NPPES CertifiedNovember 4, 2021
✔ NPI 1477216620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
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.
3117 COLLEGE PARK DR STE 150, The Woodlands, TX 77384
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Other Names 1

Doing Business AsTitanium Oral, Facial & Implants Surgical Arts

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

Other Providers at the Same Location NPPES

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

DR. ENRIQUE TABARINI DDS, MS
Dentist (Oral and Maxillofacial Surgery)
3117 COLLEGE PARK DR STE 150
THE WOODLANDS, TX 77384
Montgomery County (713) 436-0148

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 Obsidian Management Group LLC's NPI number?

The NPI number for Obsidian Management Group LLC is 1477216620. It was assigned to this organization in the NPPES registry on October 14, 2021. The provider is doing business as Titanium Oral, Facial & Implants Surgical Arts.

Where is Obsidian Management Group LLC located?

Obsidian Management Group LLC is located at 3117 College Park Dr Ste 150, The Woodlands, TX 77384. The listed phone number is (936) 231-8568.

What is Obsidian Management Group LLC'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 Obsidian Management Group LLC was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.