OrganizationActive
Full Smile Periodontics, PLLC
NPI 1083359368 · Periodontics · Amarillo, TX
Full Smile Periodontics, PLLC is a Periodontics organization in Amarillo, TX (NPI 1083359368).
Provider details
- NPI number
- 1083359368
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- William Graves, Owner(806) 353-1055
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4515 Van Winkle Dr
Amarillo, TX 79119-6423
Phone: (806) 699-6111
Fax: (806) 353-7077
Street-level locationGet directions
Mailing address
5051 S Soncy Rd
Amarillo, TX 79119-6667
Additional practice locations (1)
- 5051 S Soncy RdAmarillo, TX 79119-6667Phone: (806) 353-1055Fax: (806) 353-7077
Registry dates
- Enumerated
- 2022-05-02
- Last updated
- 2022-06-03
- Certified
- 2022-06-03
Frequently asked questions
- What is Full Smile Periodontics, PLLC's NPI number?
- Full Smile Periodontics, PLLC's National Provider Identifier (NPI) is 1083359368, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Full Smile Periodontics, PLLC?
- Full Smile Periodontics, PLLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Full Smile Periodontics, PLLC located?
- Full Smile Periodontics, PLLC's practice location on file with NPPES is 4515 Van Winkle Dr, Amarillo, TX 79119-6423.
- What is Full Smile Periodontics, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Full Smile Periodontics, PLLC is (806) 699-6111.
- Who is the authorized official for Full Smile Periodontics, PLLC?
- The authorized official listed on Full Smile Periodontics, PLLC's NPPES record is William Graves, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Full Smile Periodontics, PLLC's NPI active?
- Yes — Full Smile Periodontics, PLLC's NPI (1083359368) is active in the NPPES registry as of the last update on 2022-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.