IGNEOUS DENTAL PLLC
NPI 1295672343
Dentist - General Practice in Lubbock, TX

Q: What is Igneous Dental PLLC's NPI number?

The NPI number for Igneous Dental PLLC is 1295672343. It was assigned to this organization in the NPPES registry on April 29, 2026. The provider is doing business as Willow Dentistry.

Q: What is Igneous Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since April 29, 2026

4903 82ND ST STE 20, LUBBOCK, TX 79424(806) 798-2996(806) 798-2998 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Igneous Dental Pllc NPPES

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

IGNEOUS DENTAL PLLC (NPI 1295672343), doing business as Willow Dentistry, is a healthcare organization registered as a general practice in Lubbock, Texas and active in the NPI registry since April 2026. The organization lists Shelby Potts, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1295672343

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameIGNEOUS DENTAL PLLC

Location Address4903 82ND ST STE 20Lubbock, TX 79424-3123

Mailing Address10901 Quaker AveLubbock, TX 79424-8315 · (806) 300-8000 · Fax (806) 794-9947

Phone(806) 798-2996

Fax(806) 798-2998

Organization SubpartNo

Authorized OfficialShelby PottsOffice Manager · (806) 798-2996

Enumeration DateApril 29, 2026

NPPES CertifiedApril 29, 2026

✔ NPI 1295672343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4903 82ND ST STE 20, Lubbock, TX 79424

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Other Names 1

Doing Business AsWillow Dentistry

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

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 Igneous Dental PLLC's NPI number?

The NPI number for Igneous Dental PLLC is 1295672343. It was assigned to this organization in the NPPES registry on April 29, 2026. The provider is doing business as Willow Dentistry.

Where is Igneous Dental PLLC located?

Igneous Dental PLLC is located at 4903 82nd St Ste 20, Lubbock, TX 79424. The listed phone number is (806) 798-2996.

What is Igneous Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Igneous Dental PLLC was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.