Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Full Smile Dental Boerne Orthodontics, PLLC

Organization Periodontics · NPI 1407699937

Full Smile Dental Boerne Orthodontics, PLLC provides Periodontics in San Antonio, Texas. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11330 Potranco Rd Ste 105
San Antonio, TX 78253-7282
Phone: (210) 543-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1407699937
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Williams — Director Of Operations · (806) 353-1055
NPI enumeratedJune 13, 2024
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024
Mailing address11330 Potranco Rd Ste 105, San Antonio, TX 78253-7282

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