location
search-icon
institution
South Plains Pediatric Dental Group
Pediatric Dentist in Lubbock, Texas
NPI 1972742302

South Plains Pediatric Dental Group is a Pediatric Dentist based in Lubbock, TX and is specialized in Pediatric Dentistry. South Plains Pediatric Dental Group practices in Lubbock, TX. The NPI Number for South Plains Pediatric Dental Group is 1972742302 and holds a License No. 17087 (Texas).

The current practice location address for South Plains Pediatric Dental Group is 5102 Salem Ave, Lubbock, TX and can be reached out via phone at 806-687-8080 and via fax at 806-771-6862.

Location: 5102 Salem Ave, Lubbock, TX, 79414-4036
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972742302
Provider Name
South Plains Pediatric Dental Group
Credential
Provider Entity Type
Organization
Address
5102 Salem Ave, Lubbock, TX, 79414-4036
Phone Number
806-687-8080
Fax Number
806-771-6862
Provider Enumeration Date
02/09/2009
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
079145101 01 TX CSHCN (PROGRAM IN TEXAS FOR DISABLED CHILDREN)
institution
Provider Business Practice Location Address Details
Address
5102 Salem Ave
City
Lubbock
State
Texas
Zip
79414-4036
Phone Number
806-687-8080
Fax Number
806-771-6862
person
Provider Business Mailing Address Details
Address
5102 Salem Ave
City
Lubbock
State
Texas
Zip
79414-4036
Phone Number
806-687-8080
Fax Number
806-771-6862
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
17087 (Texas)
Definition
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.