SOUTH PLAINS PEDIATRIC DENTAL GROUP
NPI 1093923211
Dentist - Pediatric Dentistry in Lubbock, TX

Active since May 20, 2007
5102 SALEM AVE, LUBBOCK, TX 79414(806) 795-9503(806) 795-2920 Get Directions Write a Review

NPPES record last updated: December 5, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Plains Pediatric Dental Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH PLAINS PEDIATRIC DENTAL GROUP (NPI 1093923211) is a healthcare organization registered as a pediatric dentistry in Lubbock, Texas and active in the NPI registry since May 2007. The organization lists John Johnson, Partner Owner, as its authorized official.

NPPES Registry Identity

NPI1093923211
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSOUTH PLAINS PEDIATRIC DENTAL GROUP
Location Address5102 SALEM AVELubbock, TX 79414-4036
Mailing Address5102 Salem AveLubbock, TX 79414-4036 · (806) 795-9503 · Fax (806) 795-2920
Fax(806) 795-2920
Organization SubpartNo
Authorized OfficialJohn JohnsonPartner Owner · (806) 795-9503
Enumeration DateMay 20, 2007
Last NPPES UpdateDecember 5, 2007
NPI 1093923211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
5102 SALEM AVE, Lubbock, TX 79414

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
5102 SALEM AVE
LUBBOCK, TX 79414
Dentist (General Practice)
5102 SALEM AVE
LUBBOCK, TX 79414
Dentist (Pediatric Dentistry)
5102 SALEM AVE
LUBBOCK, TX 79414
Dentist (Pediatric Dentistry)
5102 SALEM AVE
LUBBOCK, TX 79414
Dentist (Pediatric Dentistry)
5102 SALEM AVE
LUBBOCK, TX 79414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is South Plains Pediatric Dental Group's NPI number?

The NPI number for South Plains Pediatric Dental Group is 1093923211. It was assigned to this organization in the NPPES registry on May 20, 2007.

Where is South Plains Pediatric Dental Group located?

South Plains Pediatric Dental Group is located at 5102 Salem Ave, Lubbock, TX 79414. The listed phone number is (806) 795-9503.

What is South Plains Pediatric Dental Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for South Plains Pediatric Dental Group was last updated on December 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.