ABBEVILLE KIDS DENTISTREE- LUBBOCK PLLC (NPI# 1902147218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902147218 |
| Entity Type | Organization |
| Organization Name | ABBEVILLE KIDS DENTISTREE- LUBBOCK PLLC |
| Other Organization Name | ABBEVILLE KIDS DENTISTREE- LUBBOCK PLLC |
| Practice Address |
3801 50th St Suite 12 Lubbock TX 79413-3807 |
| Practice Telephone | 8063008934 |
| Practice Fax Number | 8067981168 |
| Mailing Telephone | 8063008934 |
| Mailing Fax Number | 8067981168 |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |
| Authorized Official Name | KATHIE ARMSTRONG (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5022548501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Abbeville Kids Dentistree- Lubbock PLLC | Doing Business As Name - Organization |
| Street Address |
3801 50TH ST SUITE 12 |
| 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 |
| 1366782997 | Abbeville Kids Dentistree - Lubbock, Pllc | Dentist | 3801 50th St, Lubbock, TX 79413-3807 | 2013-02-19 |
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524426 | Maupin Endodontics & Microsurgery Pllc | Dentist | 6010 82nd St Ste 300, Lubbock, TX 79424-0822 | 2019-12-02 |
| 1730664798 | Dental Health Associates of Texas, PC | Dentist | 6102 82nd St Ste 1, Lubbock, TX 79424-0803 | 2018-09-26 |
| 1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
| 1699288423 | Yellow House Dental & Implant Center, Pllc | Dentist | 2420 Quaker Ave Ste 104, Lubbock, TX 79410-1837 | 2017-11-15 |
| 1134674187 | Lauren Gates Fey | Dentist | 5607 Slide Rd # 200, #200, Lubbock, TX 79414-4104 | 2016-08-19 |
| 1336591692 | Abbeville Family Dentistry | Dentist | 3801 50th St Ste 13a, Lubbock, TX 79413-3859 | 2016-07-11 |
| 1457729394 | Mccasland Family Dental Too Pllc | Dentist | 7310 Slide Rd, Suite 102, Lubbock, TX 79424-2512 | 2015-09-09 |
| 1265847248 | Karissa Young | Dentist | 1318 Broadway Ste 5, Lubbock, TX 79401-3206 | 2014-06-27 |
| 1083913198 | Summer Celeste Ketron | Dentist | 5301 50th St Ste 100, Lubbock, TX 79414-5834 | 2011-03-15 |
| 1902126774 | Familia Dental Lubbock Pllc | Dentist | 2402 19th St, Lubbock, TX 79401-4414 | 2010-06-03 |
| 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.