Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angelo Oral & Maxillofacial Surgery, P. A.

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1295863207

Angelo Oral & Maxillofacial Surgery, P. A. is an Oral and Maxillofacial Surgery (Dentist) in San Angelo, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007

Practice location Address checks out

3012 Green Meadow Dr
San Angelo, TX 76904-6974
Phone: (325) 944-3565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 14472 (TX)

Record details

NPI number1295863207
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grady Bryan — President · (325) 944-3565
NPI enumeratedMarch 1, 2007
Last updated in NPPESAugust 22, 2020
Mailing address3012 Green Meadow Dr, San Angelo, TX 76904-6974

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