# BRETT SHIRLEY DDS MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Piney Woods Oral and Maxillofacial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891264024
- **Authorized official:** DR. BRETT SHIRLEY DDS MD (OWNER)
- **Authorized official phone:** (936) 305-5155

## Contact information

- **Practice address:** 4800 NE STALLINGS DR STE 113, NACOGDOCHES, TX 75965-1250
- **Practice address phone:** (936) 657-0120
- **Practice address fax:** (936) 305-5322
- **Mailing address:** 4800 NE STALLINGS DR STE 113, NACOGDOCHES, TX 75965-1250
- **Mailing address phone:** (936) 657-0120
- **Mailing address fax:** (936) 305-5322

## 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:** 11/16/2018
- **Last updated:** 11/16/2018