# SPRING ORAL SURGERY & DENTAL IMPLANT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649857962
- **Authorized official:** MRS. JACQUELINE CARRANZA (GENERAL MANAGER)
- **Authorized official phone:** (281) 256-8400

## Contact information

- **Practice address:** 3466 DISCOVERY CREEK BLVD STE 250, SPRING, TX 77386-7130
- **Practice address phone:** (281) 801-7866
- **Practice address fax:** (281) 801-7867
- **Mailing address:** 26321 NORTHWEST FWY STE 700, CYPRESS, TX 77429-5759
- **Mailing address phone:** (281) 256-8400
- **Mailing address fax:** (281) 256-8412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 03/24/2021
- **Last updated:** 04/22/2021