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FULL SMILE DENTAL ARK PLLC
NPI 1508753864
Dentist - Pediatric Dentistry in El Paso, TX

Active since June 19, 2025
11965 PELLICANO DR, EL PASO, TX 79936(915) 855-2337 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Full Smile Dental Ark Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FULL SMILE DENTAL ARK PLLC (NPI 1508753864) is a healthcare organization registered as a pediatric dentistry in El Paso, Texas and active in the NPI registry since June 2025. The organization lists William Edward Graves, Owner, as its authorized official.

NPPES Registry Identity

NPI1508753864
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameFULL SMILE DENTAL ARK PLLC
Location Address11965 PELLICANO DREl Paso, TX 79936-6852
Mailing Address2201 Civic Cir Ste 600Amarillo, TX 79109-1817 · (806) 381-3435 · Fax (806) 353-7077
Phone(915) 855-2337
Organization SubpartNo
Authorized OfficialWilliam Edward GravesOwner · (915) 855-2337
Enumeration DateJune 19, 2025
NPPES CertifiedJune 19, 2025
✔ NPI 1508753864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
11965 PELLICANO DR, El Paso, TX 79936
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LORI LEE CORREIA SANTOS DMD
Dentist (Pediatric Dentistry)
11965 PELLICANO DR
EL PASO, TX 79936
El Paso County (915) 855-2337
NEGAR SADEGHEIN
Dentist (Pediatric Dentistry)
11965 PELLICANO DR
EL PASO, TX 79936
El Paso County (915) 855-2337
DR. YVONNE ELIZABETH MALDONADO D.D.S.
Dentist (General Practice)
11965 PELLICANO DR
EL PASO, TX 79936
El Paso County (915) 855-2337
THE DENTAL ARK, PLLC
Dentist (Pediatric Dentistry)
11965 PELLICANO DR
EL PASO, TX 79936
El Paso County (915) 855-2337
EL PASO ORAL SURGERY PLLC
Dentist (Oral and Maxillofacial Surgery)
11965 PELLICANO DR
EL PASO, TX 79936
El Paso County (915) 855-2337
YADAH SRINGAM DDS
Dentist (Pediatric Dentistry)
11965 PELLICANO DR
EL PASO, TX 79936
El Paso County (915) 855-2337
DR. NANNI BAKER DDS
Dentist (Pediatric Dentistry)
11965 PELLICANO DR
EL PASO, TX 79936
El Paso County (915) 855-2337
DR. YI-LI EDEE LIN DDS
Dentist (Pediatric Dentistry)
11965 PELLICANO DR
EL PASO, TX 79936
El Paso County (915) 855-2337

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Full Smile Dental Ark PLLC's NPI number?

The NPI number for Full Smile Dental Ark PLLC is 1508753864. It was assigned to this organization in the NPPES registry on June 19, 2025.

Where is Full Smile Dental Ark PLLC located?

Full Smile Dental Ark PLLC is located at 11965 Pellicano Dr, El Paso, TX 79936. The listed phone number is (915) 855-2337.

What is Full Smile Dental Ark PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Full Smile Dental Ark PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list Full Smile Dental Ark PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Full Smile Dental Ark PLLC was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.