OrganizationActive
Oral & Maxillofacial Surgery of Abilene PLLC
NPI 1104167055 · Oral and Maxillofacial Surgery (Dentist) · Abilene, TX
Provider details
- NPI number
- 1104167055
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Ryan Green, President(325) 232-8939
- License
- N4439 (TX)
Specialties & taxonomies
Dental Providers
Other Service Providers
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1904 Pine St Ste 1d
Abilene, TX 79601-2450
Phone: (325) 232-8939
Fax: (325) 232-8943
Street-level locationGet directions
Mailing address
1904 Pine St Ste 1d
Abilene, TX 79601-2450
Registry dates
- Enumerated
- 2013-03-01
- Last updated
- 2013-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.