Special Needs Dentistry

LBN: Special Needs Dentistry
Special Needs Dentistry is an health care organization with primary practice located at 2420 Quaker Ave Suite 101, Lubbock TX 79410-1817. The organization recently has only one registered license in Dental Providers / Dental Public Health, which is considered as the primary health care specialty. Special Needs Dentistry can be contacted via phone (806) 701-5066, or through Reddell, Russell Wayne via phone (806) 701-5066.

Contact Information

Primary practice address
2420 Quaker Ave Suite 101 Lubbock TX 79410-1817
Phone: (806) 701-5066
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reddell, Russell Wayne Doctor of Dental Surgery (DDS)
Phone: (806) 701-5066

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 19405 Texas

Profile Details

NPI number 1023408192
LBN Legal business name Special Needs Dentistry
DBA Doing business as
Authorized official Reddell, Russell Wayne Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2015
Last updated Jan 28th, 2015 - about 9 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 1023408192 NPPES
Texas MEDICAID 180035102

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