# DERID S. URE, DDS, MSD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497022131
- **Authorized official:** DERID URE D.D.S. (PRESIDENT)
- **Authorized official phone:** (806) 792-8116

## Contact information

- **Practice address:** 4601 50TH ST, SUITE 206, LUBBOCK, TX 79414-3513
- **Practice address phone:** (806) 792-8116
- **Mailing address:** 4601 50TH ST, SUITE 206, LUBBOCK, TX 79414-3513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 25110 | TX | Yes |

## Other

- **Enumeration date:** 11/23/2011
- **Last updated:** 11/23/2011