Full Smile Dental Boerne Orthodontics, PLLC
NPI 1215648340ActiveOrganization· Dentist, General Practice· Boerne, TX
Dentist, General Practice in Boerne, Texas, registered in NPPES in December 2022. The authorized official on file is William Graves, DMD, Owner.
Overview
| NPI | 1215648340 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 9, 2022 |
| Last updated in NPPES | Dec 9, 2022 |
| Certified by provider | Dec 9, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
| Dentist, Pediatric Dentistry | 1223P0221X | — | — |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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