Abbeville Kids Dentistree- Lubbock PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ABBEVILLE KIDS DENTISTREE- LUBBOCK PLLC

Doing business as

Abbeville Kids Dentistree- Lubbock PLLC

Practice address

3801 50TH St
Suite 12
Lubbock, TX 79413-3807

Phone

(806) 300-8934

Fax

(806) 798-1168

NPI assigned

Mar 12, 2013

Last updated

Mar 12, 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

Kathie Armstrong

Title

Credentialing Manager

Phone

(502) 254-8501

Specialties & licenses 1

Addresses

Other names 1

• Abbeville Kids Dentistree- Lubbock PLLC Doing business as

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

  • Pediatric Dentistry
  • Lubbock, TX
  • NPI 1366782997
  NPD tax ID

Locations

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1902147218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 50TH ST",
            "address_2": "SUITE 12",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794133807",
            "telephone_number": "806-300-8934",
            "fax_number": "806-798-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 50TH ST",
            "address_2": "SUITE 12",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794133807",
            "telephone_number": "806-300-8934",
            "fax_number": "806-798-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBEVILLE KIDS DENTISTREE- LUBBOCK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "KATHIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "502-254-8501"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abbeville Kids Dentistree- Lubbock PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• John Naeim Nakhla Abdelmalek, MD

• General Practice Dentistry in Lubbock, TX
• Providers in Lubbock, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.