Full Smile Endodontics, PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

FULL SMILE ENDODONTICS, PLLC

Doing business as

Full Smile Endodontics, PLLC

Practice address

5051 S Soncy Rd
Amarillo, TX 79119-6667

Phone

(806) 353-1055

Fax

(806) 353-7077

NPI assigned

Apr 8, 2021

Organization subpart

No

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

Authorized official

Name

Jennifer Lynn Morris, N/A

Title

Credentialing Specialist

Phone

(806) 353-1055

Specialties & licenses 1

Addresses

Other names 1

• Full Smile Endodontics, PLLC Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1598345118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 S SONCY RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196667",
            "telephone_number": "806-353-1055",
            "fax_number": "806-353-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 S SONCY RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196667",
            "telephone_number": "806-353-1055",
            "fax_number": "806-353-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL SMILE ENDODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "806-353-1055",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@fullsmiledental.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5051 S Soncy Rd",
            "city": "Amarillo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "791196667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Full Smile Endodontics, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Nora Fulcher, NP
• Full Smile Dental Colonies, PLLC
• Full Smile Dental Georgia, PLLC (Full Smile Dental)
• Full Smile Dental, PLLC
• Full Smile Dental, PLLC (Full Smile Dental)
• Full Smile Periodontics, PLLC
• Full Smile Prosthodontics PLLC
• Heather Dawn Fuller-Jones, M.S. CFY-SLP
• Hailey Rene Fuller, PTA
• Stephen Fuller, DOCTOR OF CHIROPRACT

• Endodontics in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.