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LUBBOCK PEDIATRIC DENTISTRY PLLC
NPI 1508403254
Dentist - Pediatric Dentistry in Lubbock, TX

Active since December 02, 2019
6309 4TH ST STE 100, LUBBOCK, TX 79416(806) 318-5241 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2025, Dec 2, 2019 (2 updates tracked since 2019).

About Lubbock Pediatric Dentistry Pllc NPPES

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

LUBBOCK PEDIATRIC DENTISTRY PLLC (NPI 1508403254) is a healthcare organization registered as a pediatric dentistry in Lubbock, Texas and active in the NPI registry since December 2019. The organization lists Lynsey Harrison, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1508403254
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameLUBBOCK PEDIATRIC DENTISTRY PLLC
Location Address6309 4TH ST STE 100Lubbock, TX 79416-4281
Mailing Address2300 Wolflin AveAmarillo, TX 79109-1832 · (806) 350-5437
Phone(806) 318-5241
Organization SubpartNo
Authorized OfficialLynsey HarrisonOffice Manager · (806) 350-5437
Enumeration DateDecember 2, 2019
Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1508403254 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.
6309 4TH ST STE 100, Lubbock, TX 79416
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Other Identifiers 1

Medicaid406900701TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest USA Insurance Company, Inc..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.

MYRIAM GLAVASH
Dentist (Pediatric Dentistry)
6309 4TH ST STE 100
LUBBOCK, TX 79416
Lubbock County (806) 516-0090

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 Pediatric Dentistry PLLC's NPI number?

The NPI number for Lubbock Pediatric Dentistry PLLC is 1508403254. It was assigned to this organization in the NPPES registry on December 2, 2019.

Where is Lubbock Pediatric Dentistry PLLC located?

Lubbock Pediatric Dentistry PLLC is located at 6309 4th St Ste 100, Lubbock, TX 79416. The listed phone number is (806) 318-5241.

What is Lubbock Pediatric Dentistry PLLC's specialty?

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

What insurance does Lubbock Pediatric Dentistry PLLC accept?

Health plans from DentaQuest USA Insurance Company, Inc. list Lubbock Pediatric 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 Lubbock Pediatric Dentistry PLLC was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.