National Provider Identifier Database

SPECIAL NEEDS DENTISTRY
Dental Public Health

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.


Contact Information

SPECIAL NEEDS DENTISTRY
2420 QUAKER AVE
SUITE 101
LUBBOCK, TX79410-1817
Phone: 806-701-5066
Fax:
Website:
Specialty Taxonomy Code
* Dental Public Health 1223D0001X

* Indicates primary specialty

NPI Profile & details for SPECIAL NEEDS DENTISTRY

NPI Number 1023408192
Legal business name
LBN
SPECIAL NEEDS DENTISTRY
Authorized official RUSSELL REDDELL - (OWNER/MANAGER)
Entity Organization
Organization subpart No
Enumeration date 01/28/2015
Last updated 01/28/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 19405
  • TX Medicaid: 180035102

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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