# EL PASO ORAL SURGERY PLLC

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

## Provider details

- **NPI number:** 1700773066
- **Authorized official:** DR. WILLIAM EDWARD GRAVES DMD (OWNER)
- **Authorized official phone:** (915) 855-2337

## Contact information

- **Practice address:** 11965 PELLICANO DR, EL PASO, TX 79936-6852
- **Practice address phone:** (915) 855-2337
- **Mailing address:** 2201 CIVIC CIR STE 600, AMARILLO, TX 79109-1817
- **Mailing address phone:** (806) 381-3435
- **Mailing address fax:** (806) 353-7077

## Taxonomy

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

## Other

- **Enumeration date:** 06/19/2025
- **Last updated:** 06/19/2025
