OrganizationActive
Full Smile Dental, PLLC
NPI 1558964536 · Oral and Maxillofacial Surgery Clinic/Center · Farwell, TX
Provider details
- NPI number
- 1558964536
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Williams, Credentialing(806) 418-9924
Specialties & taxonomies
Ambulatory Health Care Facilities
- General Practice Dentistry1223G0001X
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs 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
816 Avenue a
Farwell, TX 79325
Phone: (806) 353-1055
Fax: (806) 353-7077
Street-level locationGet directions
Mailing address
5051 S Soncy Rd
Amarillo, TX 79119-6667
Registry dates
- Enumerated
- 2020-11-20
- Last updated
- 2020-11-20
- Certified
- 2020-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.