South Plains Pediatric Dental Group

LBN: South Plains Pediatric Dental Group
South Plains Pediatric Dental Group is an health care organization with primary practice located at 5102 Salem Ave , Lubbock TX 79414-4036. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. South Plains Pediatric Dental Group can be contacted via phone (806) 795-9503, or through Kennel, Dietmar via phone (806) 795-9503.

Contact Information

Primary practice address
5102 Salem Ave Lubbock TX 79414-4036
Phone: (806) 795-9503
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kennel, Dietmar Doctor of Dental Surgery (DDS)
Phone: (806) 795-9503

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 19264 Texas

Profile Details

NPI number 1154504918
LBN Legal business name South Plains Pediatric Dental Group
DBA Doing business as
Authorized official Kennel, Dietmar Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 14th, 2007
Last updated Dec 14th, 2007 - about 17 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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