# FULL SMILE DENTAL ARK PLLC

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

## Provider details

- **NPI number:** 1689504920
- **Authorized official:** DR. WILLIAM EDWARD GRAVES DMD (OWNER)
- **Authorized official phone:** (806) 381-3435

## Contact information

- **Practice address:** 10501 GATEWAY BLVD W STE 107, EL PASO, TX 79925-7956
- **Practice address phone:** (915) 855-2337
- **Practice address fax:** (915) 503-1012
- **Mailing address:** 2201 CIVIC CIR STE 600, AMARILLO, TX 79109-1844
- **Mailing address phone:** (806) 381-3435
- **Mailing address fax:** (806) 353-7077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | — |
| 1223X0400X | Orthodontics and Dentofacial Orthopedics Dentistry | — | — | — |

## Other

- **Enumeration date:** 05/20/2026
- **Last updated:** 05/20/2026
