SPECIAL NEEDS DENTISTRY (NPI# 1023408192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023408192 |
| Entity Type | Organization |
| Organization Name | SPECIAL NEEDS DENTISTRY |
| Practice Address |
2420 Quaker Ave Suite 101 Lubbock TX 79410-1817 |
| Mailing Address |
16304 County Road 2040 Lubbock TX 79423-4618 |
| Practice Telephone | 8067015066 |
| Mailing Telephone | 8063682005 |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |
| Authorized Official Name | DR. RUSSELL WAYNE REDDELL (OWNER/MANAGER) |
| Authorized Official Telephone | 8067015066 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
19405 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 180035102 | 05 |
| Street Address |
2420 QUAKER AVE SUITE 101 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952376378 | William Kurt Loveless | Dentist | 2420 Quaker Ave, Lubbock, TX 79410-1817 | 2006-02-20 |
| 1467896571 | Dallen Bryce Ricks | Dentist | 2420 Quaker Ave, 104, Lubbock, TX 79410-1817 | 2013-04-18 |
| 1972538403 | George Clint Barrett | Dentist | 2420 Quaker Ave, Ste 102, Lubbock, TX 79410 | 2006-07-12 |
| 1124053053 | Ronald Gene Smith | Dentist | 2420 Quaker Ave, Ste 102, Lubbock, TX 79410 | 2006-07-11 |
| 1235178864 | James Clay Lemon | Dentist | 2420 Quaker Ave, Lubbock, TX 79410-1837 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447310834 | Arthur Richard Howard Jr. | Dentist | 1109 Kemper St, Lubbock, TX 79403-2523 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221032 | Girish Suresh Shelke | Dentist | 7703 Floyd Curl Dr # 2.539u, San Antonio, TX 78229-3901 | 2020-07-05 |
| 1386289767 | Nazgol Gharbi | Dentist | 5310 Burnet Rd Ste 108, Austin, TX 78756-2061 | 2019-11-09 |
| 1841845989 | Ensy Ann Atarod | Dentist | 1303 San Antonio St Ste 500, Austin, TX 78701-0025 | 2019-08-06 |
| 1073177531 | Kendall Dds Pllc | Dentist | 2124 S Donnybrook Ave, Tyler, TX 75701-4239 | 2019-04-30 |
| 1093272932 | Dental Smiles | Dentist | 1201 Barbara Jordan Blvd Ste 1435, Austin, TX 78723-3099 | 2019-02-27 |
| 1790240794 | Jamboree Dentistry Vi Pllc | Dentist | 6715 Bissonnet St, Houston, TX 77074-6129 | 2019-02-04 |
| 1083198311 | Husain Kapadia | Dentist | 14041 Grant Rd Ste 110, Cypress, TX 77429-0041 | 2018-09-21 |
| 1679076848 | Northside Health Center | Dentist | 8504 Schuller, Houston, TX 77093 | 2018-03-14 |
| 1093218257 | Sharpstown Health Clinic | Dentist | 6201 Bohomme Rd, 3rd Floor, Houston, TX 77036 | 2018-03-14 |
| 1700389962 | La Nueva Casa De Amigos | Dentist | 1809 N Main Street, Houston, TX 77009 | 2018-03-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.