# AMARILLO ORAL SURGERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Amarillo Oral & Maxillofacial Surgery, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053584425
- **Authorized official:** DR. WILLIAM EDWARD GRAVES DMD (OWNER/DOCTOR)
- **Authorized official phone:** (806) 353-1055

## Contact information

- **Practice address:** 3501 S SONCY RD, SUITE 126, AMARILLO, TX 79119-6407
- **Practice address phone:** (806) 353-1055
- **Mailing address:** 5051 S. SONCY RD, AMARILLO, TX 79119
- **Mailing address phone:** (806) 353-1055
- **Mailing address fax:** (806) 353-7077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 23648 | TX | Yes |

## Other

- **Enumeration date:** 04/08/2008
- **Last updated:** 03/03/2016