Lubbock Dental Specialists, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

LUBBOCK DENTAL SPECIALISTS, PLLC

Practice address

2801 W 24TH St
Plainview, TX 79072-1855

Phone

(806) 412-0000

Fax

(806) 353-7077

NPI assigned

Apr 4, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Lynn Morris

Title

Credentialing Manager

Phone

(806) 353-1055

Specialties & licenses 4

Addresses

Tax ID family

Full Smile Dental Lakeridge 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.

• Full Smile Dental Lakeridge, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Lubbock, TX
  • NPI 1184389355
  NPD tax ID

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1689426397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 CIVIC CIR STE 600",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091817",
            "telephone_number": "806-353-1055",
            "fax_number": "806-353-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W 24TH ST",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790721855",
            "telephone_number": "806-412-0000",
            "fax_number": "806-353-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUBBOCK DENTAL SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "806-353-1055"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Libra Emergency Physicians, PLLC
• Lindsey Orthodontics, P.C.
• Robert H. Lindsey Jr., DDS, MS
• Rebecca Harvey Linke, SPEECH LANGUAGE PATH
• Ahnalisia Lopez, M.S. CCC-SLP
• David Makia, FNP
• Whytney R Mask
• Lindsie Marie Mathis, O.D.
• Kimberly Lynn Maxwell, APRN
• Mark Lee McClanahan, D.O.

• Oral and Maxillofacial Surgery (Dentist) in Plainview, TX
• Providers in Plainview, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.