Individual
DR. WILLIAM EDWARD GRAVES II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5051 S SONCY RD, AMARILLO, TX 79119
(806) 353-1055
(806) 353-7077
Mailing address
5051 S SONCY RD, AMARILLO, TX 79119-6667
(806) 353-1055
(806) 353-7077
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
23678
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
8258
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200240630A
—
OK
05
—
209295901
—
TX
Enumeration date
04/13/2007
Last updated
08/15/2018
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