AMARILLO ORAL SURGERY, LLC (NPI# 1053584425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053584425 |
| Entity Type | Organization |
| Organization Name | AMARILLO ORAL SURGERY, LLC |
| Other Organization Name | AMARILLO ORAL & MAXILLOFACIAL SURGERY, LLC |
| Practice Address |
3501 S Soncy Rd Suite 126 Amarillo TX 79119-6407 |
| Mailing Address |
5051 S. Soncy Rd Amarillo TX 79119 |
| Practice Telephone | 8063531055 |
| Mailing Telephone | 8063531055 |
| Mailing Fax Number | 8063537077 |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2016-03-03 |
| Authorized Official Name | DR. WILLIAM EDWARD GRAVES (OWNER/DOCTOR) |
| Authorized Official Telephone | 8063531055 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
23648 | TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| Amarillo Oral & Maxillofacial Surgery, LLC | Doing Business As Name - Organization |
| Street Address |
3501 S SONCY RD SUITE 126 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79119-6407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925443 | Bennie Chavez | Family Medicine | 3501 S Soncy Rd, Suite 134, Amarillo, TX 79119-6407 | 2005-07-11 |
| 1013390004 | Rex Fletcher Mdpa | Pediatrics | 3501 S Soncy Rd, Suite 110, Amarillo, TX 79119-6407 | 2015-07-08 |
| 1790185825 | Steven Allred | Audiologist | 3501 S Soncy Rd, Suite 140, Amarillo, TX 79119-6407 | 2014-08-26 |
| 1154759454 | Amarillo I Care, PC | Optometrist | 3501 S Soncy Rd, Suite 100, Amarillo, TX 79119-6407 | 2013-10-23 |
| 1467888420 | Regenerative Medicine Center of Texas, Pllc | Physical Medicine & Rehabilitation | 3501 S Soncy Rd, Suite 1001, Amarillo, TX 79119-6407 | 2013-09-23 |
| 1790111037 | Amarillo Ophthalmic Associates Pa | Optometrist | 3501 S Soncy Rd, Suite 100, Amarillo, TX 79119-6407 | 2013-09-18 |
| 1275966475 | Donald Hubbard M.d.,pa | Family Medicine | 3501 S Soncy Rd, Suite 128, Amarillo, TX 79119-6407 | 2013-08-12 |
| 1033481254 | Physicians Hearing Center | Audiologist | 3501 S Soncy Rd, 140, Amarillo, TX 79119 | 2012-02-03 |
| 1780975961 | Ruba Abdalla Halloush | Pathology | 3501 S Soncy Rd, Suite 116, Amarillo, TX 79119-6407 | 2011-04-22 |
| 1225335615 | Russell Ramirez | Registered Nurse | 3501 S Soncy Rd, Suite 129, Amarillo, TX 79119-6407 | 2011-02-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063055135 | Cindy Kay Farley | Technician | 10511 Perry Lane #5, Amarillo, TX 79119 | 2019-10-22 |
| 1033771803 | Amy Stephenson | Dentist | 7649 Hillside Road, Suite 100, Amarillo, TX 79119 | 2019-07-02 |
| 1225535321 | Chad Pearson | Chiropractor | 8950 Soncy Rd, Suite 400, Amarillo, TX 79119 | 2018-04-06 |
| 1518418250 | Er On Soncy, LLC | Clinic/Center | 3530 S. Soncy Rd., Amarillo, TX 79119 | 2016-10-18 |
| 1003362377 | Coulter Emergency Center LLC | Clinic/Center | 5800 S. Coulter St, Amarillo, TX 79119 | 2016-08-28 |
| 1427502921 | Wilfred Omoghibora Ukhurebor | Dentist | 206 Ne 7th Avenue, Amarillo, TX 79119 | 2016-08-12 |
| 1134512031 | Susan D Sosebee | Dietitian, Registered | 7910 Progress Drive, Amarillo, TX 79119 | 2015-03-17 |
| 1467874537 | Susan Elizabeth Ellington | Internal Medicine | 7659 Hillside Rd, Suite 300, Amarillo, TX 79119 | 2014-01-09 |
| 1568776250 | Sean Woodruff | Dentist | 5051 S. Soncy Rd, Amarillo, TX 79119 | 2010-08-05 |
| 1992948368 | Christopher Aaron Atkins | Dentist | 5051 S Soncy, Amarillo Oral & Maxillofacial Surgery, Amarillo, TX 79119 | 2009-04-14 |
| Find all providers in zip 79119 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235497975 | Gentry Michael Hansen | Dentist | 3819 I 40 W, Amarillo, TX 79109-1529 | 2012-05-01 |
| 1992948368 | Christopher Aaron Atkins | Dentist | 5051 S Soncy, Amarillo Oral & Maxillofacial Surgery, Amarillo, TX 79119 | 2009-04-14 |
| 1568686905 | William Edward Graves II | Dentist | 5051 S Soncy Rd, Amarillo, TX 79119 | 2007-04-13 |
| 1477577393 | Bryan F. Bailey | Dentist | 4905 Lexington Sq, Amarillo, TX 79119-6574 | 2006-07-26 |
| 1427003037 | Larry Dean Chesley | Dentist | 1900 Coulter, Ste J, Amarillo, TX 79106 | 2006-05-23 |
| 1861649493 | High Plains Oral and Facial Surgeons | Dentist | 1900 S Coulter St, Suite J, Amarillo, TX 79106-1784 | 2008-08-26 |
| 1629240296 | Rhys Patrick Strasia | Dentist | 1900 Coulter, Ste #j, Amarillo, TX 79106-1784 | 2008-03-24 |
| 1225238108 | Paul Samuel Wilkinson | Dentist | 5051 S Soncy Rd, Amarillo, TX 79119-6667 | 2007-07-19 |
| 1508806472 | John Graham Whinery Jr. | Dentist | 1900 Coulter, Ste J, Amarillo, TX 79106 | 2006-06-07 |
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|---|---|---|---|---|
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| 1932716859 | Gentle Dentistry Inc | Dentist | 1810 S Bowen Rd Ste A, Arlington, TX 76013-3340 | 2020-09-24 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1033733365 | Ernesto Carmona Jr Dds PC | Dentist | 10125a Lake Creek Pkwy, Austin, TX 78729-1711 | 2020-06-02 |
| 1437779691 | Kendall Implant and Oral Surgery | Dentist | 109 Falls Ct Ste 700, Boerne, TX 78006-2984 | 2020-04-17 |
| 1285273847 | Cardenas Dental Implants and Oral Surgery | Dentist | 5460 Paredes Line Rd Ste 197a, Brownsville, TX 78526-9742 | 2019-12-31 |
| 1770134876 | Red River Oral Surgery | Dentist | 4616 Highway 75, Suite 201, Denison, TX 75020 | 2019-09-20 |
| 1316594120 | Mona Stone Dds LLC | Dentist | 4863 Allencrest Ln, Dallas, TX 75244-7710 | 2019-08-26 |
| 1821640822 | Guillen Rivera Oral and Maxillofacial Surgery Pllc | Dentist | 7100 Westwind Dr Ste 110-115, El Paso, TX 79912-1786 | 2019-07-10 |
| 1073173274 | Woodlands Oral & Maxillofacial Surgery | Dentist | 4850 W. Panther Creek Drive Suite 106, The Woodlands, TX 77381 | 2019-06-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.