# WILLIAM L GRAVES DDS PC

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

## Provider details

- **NPI number:** 1720151574
- **Authorized official:** DR. WILLIAM LEE GRAVES DDS (PRESIDENT)
- **Authorized official phone:** (308) 345-1510

## Contact information

- **Practice address:** 411 WEST 5TH STREET, MCCOOK, NE 69001
- **Practice address phone:** (308) 345-1510
- **Practice address fax:** (308) 345-2211
- **Mailing address:** 411 WEST 5TH STREET, MCCOOK, NE 69001
- **Mailing address phone:** (308) 345-1510
- **Mailing address fax:** (308) 345-2211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 3947 | — | Yes |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 05/25/2011
