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LUBBOCK PERIO & IMPLANT CENTER
NPI 1558743872
Dentist - Periodontics in Lubbock, TX

Active since June 23, 2015
4415 66TH ST, SUITE 112, LUBBOCK, TX 79414(806) 797-1275(806) 797-1274 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Lubbock Perio & Implant Center NPPES

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

LUBBOCK PERIO & IMPLANT CENTER (NPI 1558743872) is a healthcare organization registered as a periodontics in Lubbock, Texas and active in the NPI registry since June 2015. The organization lists James R Brown, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1558743872
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameLUBBOCK DENTAL IMPLANT CENTER PLLC
Location Address4415 66TH ST, SUITE 112Lubbock, TX 79414-4809
Mailing Address4415 66th St, Suite 112Lubbock, TX 79414-4809 · (806) 797-1275 · Fax (806) 797-1274
Phone(806) 797-1275
Fax(806) 797-1274
Organization SubpartNo
Authorized OfficialJames R BrownBusiness Manager · (806) 797-1275
Enumeration DateJune 23, 2015
Last NPPES UpdateSeptember 19, 2024
NPPES CertifiedSeptember 19, 2024
✔ NPI 1558743872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in TX · 23079
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Also ListedDentistTaxonomy 122300000X · License 23079 (TX)
4415 66TH ST, Lubbock, TX 79414
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Other Names 1

Doing Business AsLubbock Perio & Implant Center

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. BRYAN SCOTT MCLARTY D.D.S.
Dentist (General Practice)
4415 66TH ST, STE 112
LUBBOCK, TX 79414
Lubbock County (806) 792-3311
DR. GLENN TAYLOR MATTLAGE DDS
Dentist (Periodontics)
4415 66TH ST, SUITE 112
LUBBOCK, TX 79414
Lubbock County (806) 797-1275
DR. DAVID S. O'HARA D.D.S.
Dentist (General Practice)
4415 66TH ST, SUITE 110
LUBBOCK, TX 79414
Lubbock County (806) 795-4443

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 Dental Implant Center PLLC's NPI number?

The NPI number for Lubbock Dental Implant Center PLLC is 1558743872. It was assigned to this organization in the NPPES registry on June 23, 2015. The provider is doing business as Lubbock Perio & Implant Center.

Where is Lubbock Dental Implant Center PLLC located?

Lubbock Dental Implant Center PLLC is located at 4415 66th St Suite 112, Lubbock, TX 79414. The listed phone number is (806) 797-1275.

What is Lubbock Dental Implant Center PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Lubbock Dental Implant Center PLLC was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.