Aim: The aims of the present study were to explore the relations between the gingival phenotype (GP) and the periodontal health status and find the prevalence of a specific gingival phenotype in a small Bulgarian population. Materials and methods: We recruited 50 patients attending our dental practice with different periodontal diagnoses. A detailed periodontal status was taken to assess the diagnosis of each participant. Several clinical methods for evaluation of the gingival thickness and keratinized tissue width, including the TRAN method, transgingival probing, and direct measurement, were used. The data were summarized and analyzed statistically. Results: We found a significant prevalence of the thick gingival phenotype, in particular the thick flat type. The patients with periodontitis had a higher distribution of the thick gingival phenotype, while in those with gingivitis, the thin scalloped gingival phenotype was noted. In regards to the gingival thickness (GT), 36 participants were found to have GT >1 mm, and the remaining 14 had GT ≤1 mm. Statistically significant differences were found in the keratinized tissue width and the width of attached gingiva in the different gingival phenotypes. No significant differences were found in the age and sex of participants. Conclusions: We found a significant prevalence of the thick (with a mild prevalence of thick flat to thick scalloped) versus thin gingival phenotype in the studied sample. The highest relative proportion of patients with periodontitis was among the subsample of individuals with thick flat gingival phenotype. Regarding gingivitis, the highest proportion was in the thin scalloped phenotype subsample – 42.9%. The highest prevalence of periodontal health was among the individuals with thick scalloped GP (50%), followed by the thin scalloped GP (35.7%).