Organization
LUBBOCK PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNSEY HARRISON (OFFICE MANAGER)
(806) 350-5437
Entity
Organization
Contact information
Practice address
6309 4TH ST STE 100, LUBBOCK, TX 79416-4281
(806) 318-5241
Mailing address
2300 WOLFLIN AVE, AMARILLO, TX 79109-1832
(806) 350-5437
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406900701
—
TX
Enumeration date
12/02/2019
Last updated
07/08/2025
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