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Contact Information

SPECIAL NEEDS DENTISTRY
2420 QUAKER AVE
SUITE 101
LUBBOCK, TX79410-1817
 Phone: 806-701-5066
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for SPECIAL NEEDS DENTISTRY · (Female)

NPI # 1023408192
Status Active
Credentials
Entity Individual
Enumeration date 01/28/2015
Last updated 01/28/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # 19405
  • TX Medicaid 180035102
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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