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

Full Smile Periodontics, PLLC

Organization Periodontics · NPI 1083359368

Full Smile Periodontics, PLLC is a Periodontics in Amarillo, Texas. Works from 2 locations. Registered with an NPI since 2022.

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

See every abbreviation used in this directory →

Practice location Address checks out

4515 Van Winkle Dr
Amarillo, TX 79119-6423
Phone: (806) 699-6111
Fax: (806) 353-7077
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5051 S Soncy Rd, Amarillo, TX 79119-6667 — (806) 353-1055

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1083359368
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Graves — Owner · (806) 353-1055
NPI enumeratedMay 2, 2022
Last updated in NPPESJune 3, 2022
Certification dateJune 3, 2022
Mailing address5051 S Soncy Rd, Amarillo, TX 79119-6667

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