| Amarillo Oral & Maxillofacial Surgery, Llc | |
|
3501 S Soncy Rd Suite 126 Amarillo TX 79119-6407 | |
| (806) 353-1055 | |
| Not Available |
| Full Name | Amarillo Oral & Maxillofacial Surgery, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3501 S Soncy Rd, Amarillo, Texas |
| Authorized Official Name and Position | William Edward Graves (OWNER/DOCTOR) |
| Authorized Official Contact | 8063531055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amarillo Oral & Maxillofacial Surgery, Llc 5051 S. Soncy Rd Amarillo TX 79119 Ph: (806) 353-1055 | Amarillo Oral & Maxillofacial Surgery, Llc 3501 S Soncy Rd Suite 126 Amarillo TX 79119-6407 Ph: (806) 353-1055 |
| NPI Number | 1053584425 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 03/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053584425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 23648 (Texas) | Primary |
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