Full Smile Dental Boerne Orthodontics, PLLC
NPI 1407699937ActiveOrganization· Dentist, Periodontics· San Antonio, TX
Dentist, Periodontics in San Antonio, Texas, registered in NPPES in June 2024. The authorized official on file is Jennifer Williams, DO, Director Of Operations.
Overview
| NPI | 1407699937 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 13, 2024 |
| Last updated in NPPES | Jun 13, 2024 |
| Certified by provider | Jun 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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