# FULL SMILE ENDODONTICS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Full Smile Endodontics, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598345118
- **Authorized official:** JENNIFER LYNN MORRIS N/A (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (806) 353-1055

## Contact information

- **Practice address:** 5051 S SONCY RD, AMARILLO, TX 79119-6667
- **Practice address phone:** (806) 353-1055
- **Practice address fax:** (806) 353-7077
- **Mailing address:** 5051 S SONCY RD, AMARILLO, TX 79119-6667
- **Mailing address phone:** (806) 353-1055
- **Mailing address fax:** (806) 353-7077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 04/08/2021
- **Last updated:** 04/08/2021