Full Smile Prosthodontics PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

FULL SMILE PROSTHODONTICS PLLC

Practice address

4515 Van Winkle Dr
Amarillo, TX 79119-6423

Phone

(806) 358-0368

NPI assigned

Jan 7, 2025

Organization subpart

No

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

Authorized official

Name

Lauren Ames Hodges

Title

Credentialing Specialist

Phone

(806) 353-1055

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1851100598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 CIVIC CIR STE 600",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091817",
            "telephone_number": "806-353-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 VAN WINKLE DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791196423",
            "telephone_number": "806-358-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL SMILE PROSTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "AMES",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "806-353-1055"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Full Smile Dental Georgia, PLLC (Full Smile Dental)
• Full Smile Dental, PLLC
• Full Smile Dental, PLLC (Full Smile Dental)
• Full Smile Endodontics, PLLC
• Full Smile Periodontics, PLLC
• Heather Dawn Fuller-Jones, M.S. CFY-SLP
• Hailey Rene Fuller, PTA
• Stephen Fuller, DOCTOR OF CHIROPRACT
• Alton Wayne Funderburk Jr., CRNA
• Terry Lee Furgiuele, MD

• Dental Clinic/Center in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.