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

Full Smile Eastern Family Dentistry, PLLC

Organization General Practice Dentistry · NPI 1114753837

Full Smile Eastern Family Dentistry, PLLC is a General Practice Dentistry in Portales, New Mexico. 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

1521 W 18th St
Portales, NM 88130-7018
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

Record details

NPI number1114753837
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lauren Hodges — Credentialing Specialist · (806) 353-1055
NPI enumeratedSeptember 10, 2024
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025
Mailing address2201 Civic Cir Ste 600, Amarillo, TX 79109-1817

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