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FULL SMILE DENTAL LAKERIDGE, PLLC
NPI 1184389355
Dentist - Oral and Maxillofacial Surgery in Lubbock, TX

Active since November 03, 2021
4425 98TH ST, LUBBOCK, TX 79424(806) 641-1373(806) 353-7077 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2022, Nov 3, 2021 (2 updates tracked since 2021).

About Full Smile Dental Lakeridge, Pllc NPPES

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

FULL SMILE DENTAL LAKERIDGE, PLLC (NPI 1184389355) is a healthcare organization registered as an oral and maxillofacial surgery in Lubbock, Texas and active in the NPI registry since November 2021. The organization lists Jennifer Lynn Morris, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1184389355
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameFULL SMILE DENTAL LAKERIDGE, PLLC
Location Address4425 98TH STLubbock, TX 79424-5029
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 Lynn MorrisCredentialing Specialist · (806) 353-1055
Enumeration DateNovember 3, 2021
Last NPPES UpdateFebruary 24, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2022
✔ NPI 1184389355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
4425 98TH ST, Lubbock, TX 79424
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Other Names 1

Former Legal Business NameFull Smile Dental Lakeridge, Pllc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 4

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

DR. WAYSON DOWNS GERWIG D.D.S.
Dentist (General Practice)
4425 98TH ST, SUITE 100
LUBBOCK, TX 79424
Lubbock County (806) 794-7479
DR. CHRISTOPHER MATTHEW GERWIG D.D.S.
Dentist (General Practice)
4425 98TH ST, SUITE 100
LUBBOCK, TX 79424
Lubbock County (806) 794-7479
GERWIG FAMILY DENTAL PLLC
Dentist
4425 98TH ST, SUITE 100
LUBBOCK, TX 79424
Lubbock County (806) 794-7479
KAMI HOGAN
Dentist
4425 98TH ST
LUBBOCK, TX 79424
Lubbock County (806) 794-7479

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 Lakeridge, PLLC's NPI number?

The NPI number for Full Smile Dental Lakeridge, PLLC is 1184389355. It was assigned to this organization in the NPPES registry on November 3, 2021.

Where is Full Smile Dental Lakeridge, PLLC located?

Full Smile Dental Lakeridge, PLLC is located at 4425 98th St, Lubbock, TX 79424. The listed phone number is (806) 641-1373.

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

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Full Smile Dental Lakeridge, PLLC accept?

Health plans from UnitedHealthcare list Full Smile Dental Lakeridge, 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 Lakeridge, PLLC was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.