# JOHN VININGS, DDS, P.A.

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

## Provider details

- **NPI number:** 1609249044
- **Authorized official:** JOHN VININGS (DDS/PRACTICE OWNER)
- **Authorized official phone:** (806) 748-9797

## Contact information

- **Practice address:** 2811 S LOOP 289 STE 12, LUBBOCK, TX 79423-1443
- **Practice address phone:** (806) 748-9797
- **Mailing address:** 2811 S LOOP 289 STE 12, LUBBOCK, TX 79423-1443
- **Mailing address phone:** (806) 748-9797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 19235 | TX | Yes |

## Other

- **Enumeration date:** 11/06/2015
- **Last updated:** 11/06/2015