Lufkin Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

LUFKIN DENTISTRY PLLC

Practice address

1218 Ellis Ave
Lufkin, TX 75904-3326

Phone

(936) 634-6119

Fax

(936) 639-3442

NPI assigned

Dec 16, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amanda Lightfoot

Title

Credentialing Manager

Phone

(254) 338-1468

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Celeste Ama Mensah, D.D.S.

  • Pediatric Dentistry
  • Lancaster, PA
  • NPI 1437532579
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1104464585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 ELLIS AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043326",
            "telephone_number": "936-634-6119",
            "fax_number": "936-639-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 ELLIS AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043326",
            "telephone_number": "936-634-6119",
            "fax_number": "936-639-3442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUFKIN DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "LIGHTFOOT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "254-338-1468"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandler Jade Lowther, LPC-A
• Tiffany Elizabeth Luce
• Lufkin Adult Medicine Clinic
• Lufkin Clinic of Chiropractic PLLC
• Lufkin Counseling, PLLC
• Lufkin Emergency Physicians, PA
• Lufkin Endo Anesthesia PLLC
• Lufkin Endo Pathology PLLC
• Lufkin Endo Pathology PLLC
• Lufkin Endodontics

• Pediatric Dentistry in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.