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

Full Smile Dental Boerne Orthodontics, PLLC

Organization Periodontics · NPI 1407699937

Full Smile Dental Boerne Orthodontics, PLLC is a Periodontics in San Antonio, Texas. Registered with an NPI since 2024.

In the registry since
2024
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

11330 Potranco Rd Ste 105
San Antonio, TX 78253-7282
Phone: (210) 543-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1407699937
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Williams — Director Of Operations · (806) 353-1055
NPI enumeratedJune 13, 2024
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024
Mailing address11330 Potranco Rd Ste 105, San Antonio, TX 78253-7282

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