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LUBBOCK KIDS DENTAL PLLC
NPI 1124396312
Dentist - Pediatric Dentistry in Lubbock, TX

Active since December 02, 2011
1504 BUDDY HOLLY AVE, LUBBOCK, TX 79401(806) 749-5437(806) 744-7241 Get Directions Write a Review

NPPES record last updated: December 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lubbock Kids Dental Pllc NPPES

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

LUBBOCK KIDS DENTAL PLLC (NPI 1124396312) is a healthcare organization registered as a pediatric dentistry in Lubbock, Texas and active in the NPI registry since December 2011. The organization lists Kay Kennel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124396312
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameLUBBOCK KIDS DENTAL PLLC
Location Address1504 BUDDY HOLLY AVELubbock, TX 79401-5131
Mailing Address1504 Buddy Holly AveLubbock, TX 79401-5131 · (806) 749-5437 · Fax (806) 744-7241
Phone(806) 749-5437
Fax(806) 744-7241
Organization SubpartNo
Authorized OfficialKay KennelCeo · (806) 438-4329
Enumeration DateDecember 2, 2011
✔ NPI 1124396312 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.
1504 BUDDY HOLLY AVE, Lubbock, TX 79401
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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

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

DR. DIETMAR A KENNEL DDS
Dentist (Pediatric Dentistry)
1504 BUDDY HOLLY AVE
LUBBOCK, TX 79401
Lubbock County (806) 749-5437

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 Lubbock Kids Dental PLLC's NPI number?

The NPI number for Lubbock Kids Dental PLLC is 1124396312. It was assigned to this organization in the NPPES registry on December 2, 2011.

Where is Lubbock Kids Dental PLLC located?

Lubbock Kids Dental PLLC is located at 1504 Buddy Holly Ave, Lubbock, TX 79401. The listed phone number is (806) 749-5437.

What is Lubbock Kids Dental PLLC'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 Lubbock Kids Dental PLLC was last updated on December 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.