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Organization
BRETT SHIRLEY DDS MD PLLC
Active
Organization
BRETT SHIRLEY DDS MD PLLC
Active
Other names
Piney Woods Oral and Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT SHIRLEY DDS MD (OWNER)
(936) 305-5155
Entity
Organization
Contact information
Practice address
4800 NE STALLINGS DR STE 113, NACOGDOCHES, TX 75965-1250
(936) 657-0120
(936) 305-5322
Mailing address
4800 NE STALLINGS DR STE 113, NACOGDOCHES, TX 75965-1250
(936) 657-0120
(936) 305-5322
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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