| Full Smile Dental Ark PLLC | |
|
11965 Pellicano Dr El Paso TX 79936-6852 | |
| (915) 855-2337 | |
| Not Available |
| Full Name | Full Smile Dental Ark PLLC |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11965 Pellicano Dr, El Paso, Texas |
| Authorized Official Name and Position | William Edward Graves (OWNER) |
| Authorized Official Contact | 9158552337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Smile Dental Ark PLLC 2201 Civic Cir Ste 600 Amarillo TX 79109-1817 Ph: (806) 381-3435 | Full Smile Dental Ark PLLC 11965 Pellicano Dr El Paso TX 79936-6852 Ph: (915) 855-2337 |
| NPI Number | 1508753864 |
|---|---|
| Provider Enumeration Date | 06/19/2025 |
| Last Update Date | 06/19/2025 |
| Certification Date | 06/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508753864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Secondary |
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