Full Smile Dental Lakeridge, Pllc

LBN: Full Smile Dental Lakeridge, Pllc
Full Smile Dental Lakeridge, Pllc is an health care organization with primary practice located at 4425 98Th St , Lubbock TX 79424-5029. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Oral and Maxillofacial Surgery is the primary health care specialty. Full Smile Dental Lakeridge, Pllc can be contacted via phone (806) 641-1373, or through Morris, Jennifer Lynn via phone (806) 353-1055.

Contact Information

Primary practice address
4425 98Th St Lubbock TX 79424-5029
Phone: (806) 641-1373
Fax: (806) 353-7077
Website:
Map and Directions
Authorized official contact:
Name: Morris, Jennifer Lynn
Phone: (806) 353-1055

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1184389355
LBN Legal business name Full Smile Dental Lakeridge, Pllc
DBA Doing business as Full Smile Dental Lakeridge, Pllc
Authorized official Morris, Jennifer Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2021
Last updated Feb 24th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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