College Station Oral Surgery, PLLC
NPI 1477101053 · Oral & Maxillofacial Surgery (D.M.D.) · College Station, TX
College Station Oral Surgery, PLLC is a Oral & Maxillofacial Surgery (D.M.D.) organization in College Station, TX (NPI 1477101053).
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
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
Mailing address
Registry dates
- Enumerated
- 2019-08-28
- Last updated
- 2019-08-28
Frequently asked questions
- What is College Station Oral Surgery, PLLC's NPI number?
- College Station Oral Surgery, PLLC's National Provider Identifier (NPI) is 1477101053, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is College Station Oral Surgery, PLLC?
- College Station Oral Surgery, PLLC is classified in the NPPES registry as Oral & Maxillofacial Surgery (D.M.D.) (Allopathic & Osteopathic Physicians).
- Where is College Station Oral Surgery, PLLC located?
- College Station Oral Surgery, PLLC's practice location on file with NPPES is 1645 Greens Prairie Rd W Ste 202, College Station, TX 77845-8414.
- What is College Station Oral Surgery, PLLC's phone number?
- The practice phone number listed in the NPPES registry for College Station Oral Surgery, PLLC is (979) 316-5000.
- Who is the authorized official for College Station Oral Surgery, PLLC?
- The authorized official listed on College Station Oral Surgery, PLLC's NPPES record is Jackie Carranza, General Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is College Station Oral Surgery, PLLC's NPI active?
- Yes — College Station Oral Surgery, PLLC's NPI (1477101053) is active in the NPPES registry as of the last update on 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.