Full Smile Eastern Family Dentistry, PLLC
NPI 1114753837 · General Practice Dentistry · Portales, NM
Full Smile Eastern Family Dentistry, PLLC is a General Practice Dentistry organization in Portales, NM (NPI 1114753837).
Provider details
- NPI number
- 1114753837
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Lauren Hodges, Credentialing Specialist(806) 353-1055
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2024-09-10
- Last updated
- 2025-12-04
- Certified
- 2025-12-04
Frequently asked questions
- What is Full Smile Eastern Family Dentistry, PLLC's NPI number?
- Full Smile Eastern Family Dentistry, PLLC's National Provider Identifier (NPI) is 1114753837, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Full Smile Eastern Family Dentistry, PLLC?
- Full Smile Eastern Family Dentistry, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Full Smile Eastern Family Dentistry, PLLC located?
- Full Smile Eastern Family Dentistry, PLLC's practice location on file with NPPES is 1521 W 18th St, Portales, NM 88130-7018.
- What is Full Smile Eastern Family Dentistry, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Full Smile Eastern Family Dentistry, PLLC is (806) 353-1055.
- Who is the authorized official for Full Smile Eastern Family Dentistry, PLLC?
- The authorized official listed on Full Smile Eastern Family Dentistry, PLLC's NPPES record is Lauren Hodges, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Full Smile Eastern Family Dentistry, PLLC's NPI active?
- Yes — Full Smile Eastern Family Dentistry, PLLC's NPI (1114753837) is active in the NPPES registry as of the last update on 2025-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.