Organization
FULL SMILE DENTAL ARK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM EDWARD GRAVES DMD (OWNER)
(806) 381-3435
Entity
Organization
Contact information
Practice address
10501 GATEWAY BLVD W STE 107, EL PASO, TX 79925-7956
(915) 855-2337
(915) 503-1012
Mailing address
2201 CIVIC CIR STE 600, AMARILLO, TX 79109-1844
(806) 381-3435
(806) 353-7077
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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