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ABBEVILLE DENTISTRY - LUBBOCK PUEBLO PLLC NPI 1356092324


NPI Information

NPI: 1356092324
Provider Name: ABBEVILLE DENTISTRY - LUBBOCK PUEBLO, PLLC

Doing Business As: LUBBOCK SALEM AVE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5102 SALEM AVE
LUBBOCK, TX
ZIP 79414
Phone: (502) 254-8500
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ABBEVILLE DENTISTRY - LUBBOCK PUEBLO, PLLC is a general practice dentist in Lubbock, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ABBEVILLE DENTISTRY - LUBBOCK PUEBLO, PLLC NPI is 1356092324. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lubbock Salem Ave.

The provider's business location address is:

5102 SALEM AVE
LUBBOCK, TX
ZIP 79414-036
Phone: (502) 254-8500

The provider's authorized official is Jeff Reibel .
The authorized official title is Cfo and has the following contact phone number (502) 254-8500.

The enumeration date for this NPI number is 1/12/2022 and was last updated on 8/17/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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