Lubbock Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

LUBBOCK PEDIATRIC DENTISTRY PLLC

Practice address

6309 4TH St Ste 100
Lubbock, TX 79416-4281

Phone

(806) 318-5241

NPI assigned

Dec 2, 2019

Organization subpart

No

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

Authorized official

Name

Lynsey Harrison

Title

Office Manager

Phone

(806) 350-5437

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1508403254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WOLFLIN AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091832",
            "telephone_number": "806-350-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 4TH ST STE 100",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794164281",
            "telephone_number": "806-318-5241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUBBOCK PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "LYNSEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "806-350-5437"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406900701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lubbock Noble Care Solutions PLLC
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• Lubbock Orthopedic Associates, P.a.
• Lubbock Physical Therapy, Inc
• Lubbock Plastic Surgery Associates PA
• Lubbock Plastic Surgery Center, LP
• Lubbock Primary Care, PLLC
• Lubbock Psychiatry, PLLC.

• 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 Jul 8, 2025; 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.