NPI: 1972742302
Provider Name: SOUTH PLAINS PEDIATRIC DENTAL GROUP
Doing Business As: JOHN S JOHNSON, DDS
Classification: Dentist - 1223P0221X
Entity Type: Organization
Specialization: Pediatric Dentistry
Address:
5102 SALEM AVE
LUBBOCK, TX
ZIP 79414
Phone: (806) 687-8080
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SOUTH PLAINS PEDIATRIC DENTAL GROUP 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. SOUTH PLAINS PEDIATRIC DENTAL GROUP NPI is 1972742302. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As John S Johnson, Dds.
The provider's business location address is:
5102 SALEM AVE
LUBBOCK, TX
ZIP 79414-036
Phone: (806) 687-8080
Fax: (806) 771-6862
The provider's authorized official is John Johnson .
The authorized official title is Owner and has the following contact phone number (806) 687-8080.
The enumeration date for this NPI number is 2/9/2009 and was last updated on 2/9/2009.