Graves, William Edward

Graves, William Edward is an individual health care provider with primary practice located at 5051 S Soncy Rd , Amarillo TX 79119. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Graves, William Edward can be contacted via phone (806) 353-1055.

Contact Information

Primary practice address
5051 S Soncy Rd Amarillo TX 79119
Phone: (806) 353-1055
Fax: (806) 353-7077
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 8258 Kentucky
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 23678 Texas

Profile Details

NPI number 1568686905
LBN Legal business name Graves, William Edward
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2007
Last updated Aug 15th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568686905 NPPES
Oklahoma MEDICAID 200240630A
Oklahoma MEDICAID 209295901

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