NPI 1346809670 · live from the CMS NPI Registry
Abbeville Special Needs Dentistry PLLC
Dentist in Lubbock, TX. National Provider Identifier 1346809670, active.
NPI record
| NPI | 1346809670 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 2420 Quaker Ave Ste 101, Lubbock, TX 79410 |
| Practice phone | 502-254-8500 |
| Mailing address | Po Box 437169, Louisville, KY 40253 |
| Enumerated | June 11, 2019 |
| Last updated | September 5, 2023 |
| Authorized official | Jeff Reibel, Cfo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist primary | 122300000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.