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LUBBOCK DENTAL AND ORTHODONTICS PLLC
NPI 1861383622
Dentist in Lubbock, TX

Active since July 10, 2025
4501 114TH ST., STE 200, LUBBOCK, TX 79424(817) 529-8151 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lubbock Dental And Orthodontics Pllc NPPES

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

LUBBOCK DENTAL AND ORTHODONTICS PLLC (NPI 1861383622), doing business as Rodeo Dental And Orthodontics, is a healthcare organization registered as a dentist in Lubbock, Texas and active in the NPI registry since July 2025. The organization lists Raffy Kouyoumdjian, Owner, as its authorized official.

NPPES Registry Identity

NPI1861383622
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameLUBBOCK DENTAL AND ORTHODONTICS PLLC
Location Address4501 114TH ST., STE 200Lubbock, TX 79424
Mailing Address8505 Freeport Pkwy Ste 600Irving, TX 75063-2549
Phone(817) 529-8151
Organization SubpartNo
Authorized OfficialRaffy KouyoumdjianOwner · (817) 529-8151
Enumeration DateJuly 10, 2025
NPPES CertifiedJune 25, 2025
✔ NPI 1861383622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4501 114TH ST., Lubbock, TX 79424
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Other Names 1

Doing Business AsRodeo Dental And Orthodontics

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 Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 And Orthodontics PLLC's NPI number?

The NPI number for Lubbock Dental And Orthodontics PLLC is 1861383622. It was assigned to this organization in the NPPES registry on July 10, 2025. The provider is doing business as Rodeo Dental and Orthodontics.

Where is Lubbock Dental And Orthodontics PLLC located?

Lubbock Dental And Orthodontics PLLC is located at 4501 114th St. Ste 200, Lubbock, TX 79424. The listed phone number is (817) 529-8151.

What is Lubbock Dental And Orthodontics PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Lubbock Dental And Orthodontics 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 1 other insurer list Lubbock Dental And Orthodontics 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 Dental And Orthodontics PLLC was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.