EL PASO ORAL SURGERY PLLC NPI 1700773066

NPI Information

  • NPI: 1700773066
  • Provider Name: EL PASO ORAL SURGERY PLLC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 11965 PELLICANO DR
    EL PASO, TX
    ZIP 79936
  • Phone: (915) 855-2337

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NPI Details

EL PASO ORAL SURGERY PLLC is an oral and maxillofacial surgery dentist in El Paso, TX. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. EL PASO ORAL SURGERY PLLC NPI is 1700773066. The provider is registered as an organization entity type.

The provider's business location address is:

11965 PELLICANO DR
EL PASO, TX
ZIP 79936-852
Phone: (915) 855-2337

The provider's authorized official is William Edward Graves .
The authorized official title is Owner and has the following contact phone number (915) 855-2337.

The enumeration date for this NPI number is 6/19/2025 and was last updated on 6/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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