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ABBEVILLE KIDS DENTISTREE - LUBBOCK PLLC NPI 1366782997


NPI Information

NPI: 1366782997
Provider Name: ABBEVILLE KIDS DENTISTREE - LUBBOCK, PLLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
3801 50TH ST
LUBBOCK, TX
ZIP 79413
Phone: (502) 254-8500
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ABBEVILLE KIDS DENTISTREE - LUBBOCK, PLLC is a pediatric dentistry dentist in Lubbock, TX. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. ABBEVILLE KIDS DENTISTREE - LUBBOCK, PLLC NPI is 1366782997. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3801 50TH ST
LUBBOCK, TX
ZIP 79413-807
Phone: (502) 254-8500
Fax: (502) 245-5021

The provider's authorized official is Ronel Mccombs .
The authorized official title is Credentialing Specialist and has the following contact phone number (502) 254-8500.

The enumeration date for this NPI number is 2/19/2013 and was last updated on 2/19/2013.


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
11223P0221XDentistPediatric DentistryYes

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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