LUFKIN DENTISTRY PLLC
NPI 1104464585
Dentist - Pediatric Dentistry in Lufkin, TX

Active since December 16, 2019
1218 ELLIS AVE, LUFKIN, TX 75904(936) 634-6119(936) 639-3442 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lufkin Dentistry Pllc NPPES

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

LUFKIN DENTISTRY PLLC (NPI 1104464585) is a healthcare organization registered as a pediatric dentistry in Lufkin, Texas and active in the NPI registry since December 2019. The organization lists Amanda Lightfoot, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1104464585
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameLUFKIN DENTISTRY PLLC
Location Address1218 ELLIS AVELufkin, TX 75904-3326
Mailing Address1218 Ellis AveLufkin, TX 75904-3326 · (936) 634-6119 · Fax (936) 639-3442
Fax(936) 639-3442
Organization SubpartNo
Authorized OfficialAmanda LightfootCredentialing Manager · (254) 338-1468
Enumeration DateDecember 16, 2019
NPI 1104464585 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.
1218 ELLIS AVE, Lufkin, TX 75904

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (Pediatric Dentistry)
1218 ELLIS AVE
LUFKIN, TX 75904

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 Lufkin Dentistry PLLC's NPI number?

The NPI number for Lufkin Dentistry PLLC is 1104464585. It was assigned to this organization in the NPPES registry on December 16, 2019.

Where is Lufkin Dentistry PLLC located?

Lufkin Dentistry PLLC is located at 1218 Ellis Ave, Lufkin, TX 75904. The listed phone number is (936) 634-6119.

What is Lufkin Dentistry PLLC's specialty?

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

What insurance does Lufkin Dentistry PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Lufkin Dentistry PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lufkin Dentistry PLLC was last updated on December 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.