OrganizationActive
Angelo Oral & Maxillofacial Surgery, P. A.
NPI 1295863207 · Oral and Maxillofacial Surgery (Dentist) · San Angelo, TX
Provider details
- NPI number
- 1295863207
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Authorized official
- Grady Bryan, President
- License
- 14472 (TX)
Practice location
3012 Green Meadow Dr
San Angelo, TX 76904-6974
Phone: (325) 944-3565
Mailing address
3012 Green Meadow Dr
San Angelo, TX 76904-6974
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.