Organization · Type 2 NPI

Full Smile Eastern Family Dentistry, PLLC

General Practice Dentistry · Portales, NM

NPI number 1114753837 Active

Practice location

1521 W 18th St
Portales, NM 88130-7018

Mailing address

2201 Civic Cir Ste 600
Amarillo, TX 79109-1817

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4 other providers at this address

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About NPI 1114753837

Full Smile Eastern Family Dentistry, PLLC's National Provider Identifier is 1114753837, issued on Sep 10, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portales, NM. The record was last updated on Dec 4, 2025.