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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FULL SMILE EASTERN FAMILY DENTISTRY, PLLC

Active Organization

FULL SMILE EASTERN FAMILY DENTISTRY, PLLC is a General Dentistry organization located in PORTALES, New Mexico. NPI 1114753837 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · PORTALES, NM

Registration Details

NPI Number
1114753837
Provider Type
Organization
NPI Issued
Sep 10, 2024 (1.9416731898308 yrs)
Last Updated
Dec 4, 2025

Practice Information

Address
1521 W 18TH ST
PORTALES, NM, 881307018
Browse NM providers · Browse ZIP 88130
Phone
8063531055
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in PORTALES, NM

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.