OrganizationActive
College Station Oral Surgery, PLLC
NPI 1477101053 · Oral & Maxillofacial Surgery (D.M.D.) · College Station, TX
Provider details
- NPI number
- 1477101053
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jackie Carranza, General Manager(979) 316-5000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1645 Greens Prairie Rd W Ste 202
College Station, TX 77845-8414
Phone: (979) 316-5000
Street-level locationGet directions
Mailing address
24437 Katy Fwy Ste 500
Katy, TX 77494-1469
Registry dates
- Enumerated
- 2019-08-28
- Last updated
- 2019-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.