Lubbock Pediatric Dentistry Pllc

LBN: Lubbock Pediatric Dentistry Pllc
Lubbock Pediatric Dentistry Pllc is an health care organization with primary practice located at 6309 4Th St Ste 100 , Lubbock TX 79416-4281. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Lubbock Pediatric Dentistry Pllc can be contacted via phone (806) 318-5241, or through Harrison, Lynsey via phone (806) 350-5437.

Contact Information

Primary practice address
6309 4Th St Ste 100 Lubbock TX 79416-4281
Phone: (806) 318-5241
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harrison, Lynsey
Phone: (806) 350-5437

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1508403254
LBN Legal business name Lubbock Pediatric Dentistry Pllc
DBA Doing business as
Authorized official Harrison, Lynsey
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2019
Last updated Mar 18th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508403254 NPPES
Texas MEDICAID 406900701

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