NPI age
4 years
Enumerated 2022-05-02
● Active Type 2 · Organization
Full Smile Periodontics, Pllc
Full Smile Periodontics, Pllc is 1 of 625 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Graves
Owner
Last NPPES update
2022-06-03
Source: monthly bulk 2026-05
How this organization compares
Across 625 active dentist providers in Texas.
NPI age
4 years
↓ 13 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-05Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
4515 Van Winkle Dr
Amarillo, TX 791196423
Mailing address
5051 S Soncy Rd
Amarillo, TX 791196667
Additional practice locations
1 secondary location on file with NPPES.
Location 2
5051 S Soncy Rd
Amarillo, TX 791196667
Authorized official
William E Graves, DMD
Owner
📞 8063531055
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Jordan Hardin, DDS Dentist NPI 1992298376
- Blaine Morris, DDS Dentist NPI 1538575501
- Fong Chu Tsang, DMD Dentist NPI 1326737180
Specialties
-
Dentist PrimaryThat specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of...
Practice context
Multi-provider organization. 3 individual providers on file at this primary address. Plus 1 secondary practice location.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.