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Organization
LUBBOCK DENTAL SPECIALISTS, PLLC
Active
Organization
LUBBOCK DENTAL SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN MORRIS (CREDENTIALING MANAGER)
(806) 353-1055
Entity
Organization
Contact information
Practice address
2801 W 24TH ST, PLAINVIEW, TX 79072-1855
(806) 412-0000
(806) 353-7077
Mailing address
2201 CIVIC CIR STE 600, AMARILLO, TX 79109-1817
(806) 353-1055
(806) 353-7077
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
NULL
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
NULL
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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