NPI age
4 years
Enumerated 2021-11-03
● Active Type 2 · Organization
Full Smile Dental Lakeridge, Pllc
Full Smile Dental Lakeridge, Pllc is 1 of 935 dentist organizations in Texas.
Primary specialty
Dentist
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Morris
Credentialing Specialist
Last NPPES update
2022-02-24
Source: monthly bulk 2026-05
How this organization compares
Across 935 active dentist providers in Texas.
NPI age
4 years
↓ 13 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 31% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-11Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
4425 98th St
Lubbock, TX 794245029
Mailing address
5051 S Soncy Rd
Amarillo, TX 791196667
Authorized official
Jennifer Lynn Morris
Credentialing Specialist
📞 8063531055
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Christopher Gerwig, D.D.S. Dentist NPI 1376647008
- Wayson Gerwig, D.D.S. Dentist NPI 1134255201
- Kami Hogan Dentist NPI 1871271718
Specialties
-
Dentist PrimaryThe 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.
-
DentistThat area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
-
DentistThe branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Full Smile Dental Lakeridge, PLLC
-
Full Smile Dental Lakeridge, PLLC
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.