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Full Smile Dental Lakeridge, Pllc

Oral and Maxillofacial Surgery (Dentist) in Lubbock, TX · enumerated 2021 · authorized official Jennifer Morris, Credentialing Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184389355

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Registry record

Entity type Organization (Type 2)
Legal business name Full Smile Dental Lakeridge, Pllc
Other name <Unavail>
Practice address 4425 98th St, Lubbock, TX, 79424
Phone (806) 641-1373
Fax (806) 353-7077
Enumeration date Nov 3, 2021
Last updated in NPPES Feb 24, 2022

Taxonomy & classification

1223E0200X Endodontics Dental Providers Secondary
1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Primary
1223X0400X Orthodontics and Dentofacial Orthopedics Dentistry Dental Providers Secondary

Authorized official

Name Jennifer Morris
Title Credentialing Specialist
Phone (806) 353-1055

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Full Smile Dental Lakeridge, Pllc?
Full Smile Dental Lakeridge, Pllc is registered in NPPES as a Oral and Maxillofacial Surgery (Dentist) (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-02-24.