NPI 1356092324 · live from the CMS NPI Registry
Abbeville Dentistry - Lubbock Pueblo, PLLC
Dentist, General Practice in Lubbock, TX. National Provider Identifier 1356092324, active.
NPI record
| NPI | 1356092324 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 5102 Salem Ave, Lubbock, TX 79414 |
| Practice phone | 502-254-8500 |
| Mailing address | Po Box 437169, Louisville, KY 40253 |
| Enumerated | January 12, 2022 |
| Last updated | August 17, 2022 |
| Authorized official | Jeff Reibel, Cfo |
| Other names | Lubbock Salem Ave |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.