ABBEVILLE KIDS DENTISTREE - LUBBOCK, PLLC (NPI# 1366782997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366782997 |
| Entity Type | Organization |
| Organization Name | ABBEVILLE KIDS DENTISTREE - LUBBOCK, PLLC |
| Practice Address |
3801 50th St Lubbock TX 79413-3807 |
| Mailing Address |
Po Box 437169 Louisville KY 40253-7169 |
| Practice Telephone | 5022548500 |
| Practice Fax Number | 5022455021 |
| Mailing Telephone | 5022548500 |
| Mailing Fax Number | 5022455021 |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-02-19 |
| Authorized Official Name | RONEL MCCOMBS (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 5022548500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
3801 50TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79413-3807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447250923 | Piyush Mittal | Internal Medicine | 3801 50th St, Ste 5, Lubbock, TX 79413-3807 | 2005-07-27 |
| 1902326895 | Charity Galan | Nurse Practitioner | 3801 50th St, Lubbock, TX 79413-3807 | 2017-06-22 |
| 1669867263 | Braces Braces Braces of Abbeville - Lubbock Pllc | Dentist | 3801 50th St, Suite 15, Lubbock, TX 79413-3807 | 2015-03-31 |
| 1295133221 | Ruth Gard | Nurse Practitioner | 3801 50th St, Ste. 5, Lubbock, TX 79413-3807 | 2014-12-08 |
| 1902147218 | Abbeville Kids Dentistree- Lubbock Pllc | Dentist | 3801 50th St, Suite 12, Lubbock, TX 79413-3807 | 2013-03-12 |
| 1386913473 | Rebecca J'lin Stewart | Nurse Practitioner | 3801 50th St, Suite 5, Lubbock, TX 79413-3807 | 2011-12-20 |
| 1245517093 | Catrina Jean Mead | Nurse Practitioner | 3801 50th St, Suite 5, Lubbock, TX 79413-3807 | 2011-11-08 |
| 1871732073 | Amy Marie Beicker | Physician Assistant | 3801 50th St, Lubbock, TX 79413-3859 | 2009-02-11 |
| 1639196546 | Southwest Diagnostic Clinic, L.l.p. | Internal Medicine | 3801 50th St, Lubbock, TX 79413-3859 | 2006-07-16 |
| 1902845449 | Nelson W Lum | Internal Medicine | 3801 50th St, Lubbock, TX 79413-3859 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194226654 | Heritage Birth Center, LLC | Clinic/Center | 3410 Knoxville Ave, Lubbock, TX 79413 | 2018-02-21 |
| 1992216071 | Leah Beth Deboard | Counselor | 6906 Freemont Ave, Lubbock, TX 79413 | 2017-10-17 |
| 1003357518 | Emmy Lu Henley | Dietitian, Registered | 6520 University Ave, Suite 5, Lubbock, TX 79413 | 2017-03-16 |
| 1730635129 | Katy Rebecca-franklin Poff | Dietitian, Registered | 7008 Indiana Avenue, Suite A, Lubbock, TX 79413 | 2016-08-26 |
| 1982074340 | Katricia Collins | Speech-Language Pathologist | 3403 40th St, Lubbock, TX 79413 | 2015-09-29 |
| 1750771937 | Caprock Compounding Pharmacy Inc. | Pharmacy | 3007 50th Street, Lubbock, TX 79413 | 2015-01-27 |
| 1083010250 | Max Manley | Counselor | 3312 38th St., Lubbock, TX 79413 | 2014-11-14 |
| 1124326566 | Melissa Mccauley | Midwife | 3609 38th Street, Lubbock, TX 79413 | 2011-03-09 |
| 1619138880 | Myles Freeman Sadler | Dentist | 3315 - 64th Street, Lubbock, TX 79413 | 2008-06-20 |
| 1316121320 | Michael Daniel Gomez | Psychologist | 6610 Quaker Ave, Lubbock, TX 79413 | 2007-12-27 |
| Find all providers in zip 79413 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508403254 | Lubbock Pediatric Dentistry Pllc | Dentist | 6309 4th St, Lubbock, TX 79416-4006 | 2019-12-02 |
| 1063984508 | Parkview Pediatric Dental Holdings, Pllc | Dentist | 7515 Quaker Ave Ste 100, Lubbock, TX 79424-5315 | 2018-12-21 |
| 1013926955 | Dietmar A Kennel | Dentist | 1504 Buddy Holly Ave, Lubbock, TX 79401-5131 | 2006-08-07 |
| 1235148453 | John Scott Johnson | Dentist | 5102 Salem Ave, Lubbock, TX 79414-4036 | 2006-08-05 |
| 1427013697 | Barry J Currey | Dentist | 6500 Quaker Ave, Suite F, Lubbock, TX 79413-5100 | 2006-04-19 |
| 1790296226 | Abbeville Dentistry - Lubbock Pueblo, Pllc | Dentist | 5102 Salem Ave, Lubbock, TX 79414-4036 | 2017-10-24 |
| 1861804072 | Tasha Batts | Dentist | 5102 Salem Ave, Lubbock, TX 79414 | 2014-05-22 |
| 1447692439 | Parkview Pediatric Dentistry, Pllc | Dentist | 7515 Quaker Ave, Suite 1, Lubbock, TX 79424-5308 | 2013-07-19 |
| 1053667451 | Cecily L. Jackson, Dds, P.C. | Dentist | 3233 63rd St, Suite A, Lubbock, TX 79413-5742 | 2012-08-03 |
| 1467713156 | Molly Lopez-cepero | Dentist | 7515 Quaker Ave, Suite 100, Lubbock, TX 79424-5308 | 2012-05-30 |
| Find all providers in LUBBOCK | ||||
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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.