NPI 1902147218 · live from the CMS NPI Registry
Abbeville Kids Dentistree- Lubbock PLLC
Dentist, General Practice in Lubbock, TX. National Provider Identifier 1902147218, active.
NPI record
| NPI | 1902147218 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 3801 50th St, Suite 12, Lubbock, TX 79413 |
| Practice phone | 806-300-8934 |
| Enumerated | March 12, 2013 |
| Last updated | March 12, 2013 |
| Authorized official | Kathie Armstrong, Credentialing Manager |
| Other names | Abbeville Kids Dentistree- Lubbock PLLC |
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.