Abbeville Kids Dentistree - Lubbock, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

ABBEVILLE KIDS DENTISTREE - LUBBOCK, PLLC

Practice address

3801 50TH St
Lubbock, TX 79413-3807

Phone

(502) 254-8500

Fax

(502) 245-5021

NPI assigned

Feb 19, 2013

Last updated

Feb 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronel McCombs

Title

Credentialing Specialist

Phone

(502) 254-8500

Specialties & licenses 1

Addresses

Tax ID family

Abbeville Kids Dentistree - Lubbock PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Abbeville Kids Dentistree- Lubbock PLLC

  • General Practice Dentistry
  • Lubbock, TX
  • NPI 1902147218
  NPD tax ID

Locations

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1366782997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 437169",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402537169",
            "telephone_number": "502-254-8500",
            "fax_number": "502-245-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794133807",
            "telephone_number": "502-254-8500",
            "fax_number": "502-245-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBEVILLE KIDS DENTISTREE - LUBBOCK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "MCCOMBS",
        "authorized_official_first_name": "RONEL",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "502-254-8500"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbeville Dentistry - Lubbock Pueblo, PLLC (Lubbock Salem Ave)
• Abbeville Dentistry - Lubbock Pueblo, PLLC (Lubbock Dentistry for Kids)
• Abbeville Family Dentistry
• Abbeville Family Dentistry
• Abbeville Family Dentistry
• Abbeville Kids Dentistree- Lubbock PLLC
• Abbeville Special Needs Dentistry PLLC
• Helen Hayes Abbott-McKibben, RDH
• Marcia M. Abbott, PH.D.
• Sara Abdelgawad Hedya Abdelgawad

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.