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

Oral & Maxillofacial Surgery of Abilene PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1104167055

Oral & Maxillofacial Surgery of Abilene PLLC is an Oral and Maxillofacial Surgery (Dentist) in Abilene, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1904 Pine St Ste 1D
Abilene, TX 79601-2450
Phone: (325) 232-8939
Fax: (325) 232-8943
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 24237 (TX)
Specialist Taxonomy 174400000X · Licence N4439 (TX)
Surgery Physician Taxonomy 208600000X · Licence N4439 (TX)

Record details

NPI number1104167055
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Green — President · (325) 232-8939
NPI enumeratedMarch 1, 2013
Last updated in NPPESMarch 1, 2013
Mailing address1904 Pine St Ste 1d, Abilene, TX 79601-2450

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