BRETT SHIRLEY DDS MD PLLC NPI 1891264024

NPI Information

  • NPI: 1891264024
  • Provider Name: BRETT SHIRLEY DDS MD PLLC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 4800 NE STALLINGS DR STE 113
    NACOGDOCHES, TX
    ZIP 75965
  • Phone: (936) 657-0120

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NPI Details

BRETT SHIRLEY DDS MD PLLC is an oral and maxillofacial surgery dentist in Nacogdoches, TX. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. BRETT SHIRLEY DDS MD PLLC NPI is 1891264024. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4800 NE STALLINGS DR STE 113
NACOGDOCHES, TX
ZIP 75965-250
Phone: (936) 657-0120
Fax: (936) 305-5322

The provider's authorized official is Brett Shirley .
The authorized official title is Owner and has the following contact phone number (936) 305-5155.

The enumeration date for this NPI number is 11/16/2018 and was last updated on 11/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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