EL PASO ORAL SURGERY PLLC
NPI 1700773066
Dentist - Oral and Maxillofacial Surgery 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 El Paso Oral Surgery Pllc NPPES

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

EL PASO ORAL SURGERY PLLC (NPI 1700773066) is a healthcare organization registered as an oral and maxillofacial surgery 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

NPI1700773066
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameEL PASO ORAL SURGERY 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
Organization SubpartNo
Authorized OfficialWilliam Edward GravesOwner · (915) 855-2337
Enumeration DateJune 19, 2025
NPPES CertifiedJune 19, 2025
NPI 1700773066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
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.
11965 PELLICANO DR, El Paso, TX 79936

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.

Dentist (Pediatric Dentistry)
11965 PELLICANO DR
EL PASO, TX 79936
Dentist (Pediatric Dentistry)
11965 PELLICANO DR
EL PASO, TX 79936
Dentist (General Practice)
11965 PELLICANO DR
EL PASO, TX 79936
Dentist (Pediatric Dentistry)
11965 PELLICANO DR
EL PASO, TX 79936
Dentist (Pediatric Dentistry)
11965 PELLICANO DR
EL PASO, TX 79936
Dentist (Pediatric Dentistry)
11965 PELLICANO DR
EL PASO, TX 79936
Dentist (Pediatric Dentistry)
11965 PELLICANO DR
EL PASO, TX 79936
Dentist (Pediatric Dentistry)
11965 PELLICANO DR
EL PASO, TX 79936

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 El Paso Oral Surgery PLLC's NPI number?

The NPI number for El Paso Oral Surgery PLLC is 1700773066. It was assigned to this organization in the NPPES registry on June 19, 2025.

Where is El Paso Oral Surgery PLLC located?

El Paso Oral Surgery PLLC is located at 11965 Pellicano Dr, El Paso, TX 79936. The listed phone number is (915) 855-2337.

What is El Paso Oral Surgery PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for El Paso Oral Surgery 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.