Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Full Smile Dental Boerne Orthodontics, PLLC

Organization General Practice Dentistry · NPI 1215648340

Full Smile Dental Boerne Orthodontics, PLLC is a General Practice Dentistry in Boerne, Texas. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

215 W Bandera Rd Ste 112
Boerne, TX 78006-2842
Phone: (806) 353-1055
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Pediatric Dentistry Taxonomy 1223P0221X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1215648340
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Graves — Owner · (806) 353-1055
NPI enumeratedDecember 9, 2022
Last updated in NPPESDecember 9, 2022
Certification dateDecember 9, 2022
Mailing address5051 S Soncy Rd, Amarillo, TX 79119-6667

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