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4TH STREET DENTAL PLLC NPI 1306347711


NPI Information

NPI: 1306347711
Provider Name: 4TH STREET DENTAL, PLLC

Doing Business As: FAMILY SMILES OF LUBBOCK

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5709 4TH ST
LUBBOCK, TX
ZIP 79416
Phone: (940) 220-7833
Get Directions

4TH STREET DENTAL, 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. 4TH STREET DENTAL, PLLC NPI is 1306347711. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Family Smiles Of Lubbock.

The provider's business location address is:

5709 4TH ST
LUBBOCK, TX
ZIP 79416
Phone: (940) 220-7833

The provider's authorized official is Criag Fleming Copeland .
The authorized official title is Owner/dmd and has the following contact phone number (940) 220-7833.

The enumeration date for this NPI number is 2/22/2018 and was last updated on 7/27/2018.


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 Practice25735TEXASYes

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: 11/14/2023

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