Full Smile Oakwell Farms Orthodontics, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

FULL SMILE OAKWELL FARMS ORTHODONTICS, PLLC

Practice address

1919 Oakwell Farms Pkwy Ste 240
San Antonio, TX 78218-1779

Phone

(210) 828-6787

Fax

(210) 824-2652

NPI assigned

Nov 1, 2023

Last updated

Nov 1, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Williams

Title

Credentialing Manager

Phone

(806) 353-1055

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David A Gonzales, DMD MS

  • Dentist
  • San Antonio, TX
  • NPI 1215009451
  NPD (past)
• Donald Eugene Mills, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Antonio, TX
  • NPI 1093743411
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1154194249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11330 POTRANCO RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782537282",
            "telephone_number": "210-828-6787",
            "fax_number": "210-824-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 OAKWELL FARMS PKWY STE 240",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782181779",
            "telephone_number": "210-828-6787",
            "fax_number": "210-824-2652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL SMILE OAKWELL FARMS ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "806-353-1055"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Full Care Pediatrics PLLC
• Full Circle Medical Group PLLC
• Full Circle Wellness With Miriam
• Full Smile Dental Boerne Orthodontics, PLLC
• Full Smile Dental San Antonio Orthodontics, PLLC (San Antonio Orthodontics)
• Full Smile Oral Surgery of Alamo Ranch, PLLC
• Full Smile Westover Hills Pediatric Dentistry, PLLC
• Fuller-Selle, LLC (PharmaCare Services)
• Alisa Scott Fuller, RBT
• Amy M Fuller, PHD

• Orthodontics and Dentofacial Orthopedics Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.