Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

El Paso Oral Surgery PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1700773066

El Paso Oral Surgery PLLC is an Oral and Maxillofacial Surgery (Dentist) in El Paso, Texas. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11965 Pellicano Dr
El Paso, TX 79936-6852
Phone: (915) 855-2337
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1700773066
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Graves — Owner · (915) 855-2337
NPI enumeratedJune 19, 2025
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address2201 Civic Cir Ste 600, Amarillo, TX 79109-1817

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