1. Home
  2. Directory
  3. Texas
  4. Hereford
  5. Dentist
  6. NPI Profile

FULL SMILE DENTAL HEREFORD, PLLC
NPI 1063120343
Dentist - General Practice in Hereford, TX

Active since November 07, 2022
809 W PARK AVE, HEREFORD, TX 79045(806) 641-1373(806) 353-7077 Get Directions Write a Review

NPPES record last updated: November 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Full Smile Dental Hereford, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FULL SMILE DENTAL HEREFORD, PLLC (NPI 1063120343) is a healthcare organization registered as a general practice in Hereford, Texas and active in the NPI registry since November 2022. The organization lists Jennifer Williams, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1063120343
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFULL SMILE DENTAL HEREFORD, PLLC
Location Address809 W PARK AVEHereford, TX 79045-4001
Mailing Address5051 S Soncy RdAmarillo, TX 79119-6667 · (806) 353-1055 · Fax (806) 353-7077
Phone(806) 641-1373
Fax(806) 353-7077
Organization SubpartNo
Authorized OfficialJennifer WilliamsCredentialing Specialist · (806) 353-1055
Enumeration DateNovember 7, 2022
NPPES CertifiedNovember 7, 2022
✔ NPI 1063120343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
809 W PARK AVE, Hereford, TX 79045
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID J PURDY DDS
Dentist (General Practice)
809 W PARK AVE
HEREFORD, TX 79045
Deaf Smith County (806) 364-4496
DAVID J PURDY DDS, PC
Dentist (General Practice)
809 W PARK AVE
HEREFORD, TX 79045
Deaf Smith County (806) 364-4496

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Full Smile Dental Hereford, PLLC's NPI number?

The NPI number for Full Smile Dental Hereford, PLLC is 1063120343. It was assigned to this organization in the NPPES registry on November 7, 2022.

Where is Full Smile Dental Hereford, PLLC located?

Full Smile Dental Hereford, PLLC is located at 809 W Park Ave, Hereford, TX 79045. The listed phone number is (806) 641-1373.

What is Full Smile Dental Hereford, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Full Smile Dental Hereford, PLLC accept?

Health plans from UnitedHealthcare list Full Smile Dental Hereford, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Full Smile Dental Hereford, PLLC was last updated on November 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.