| 4th Street Dental, Pllc | |
|
5709 4th St Lubbock TX 79416 | |
| (940) 220-7833 | |
| Not Available |
| Full Name | 4th Street Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5709 4th St, Lubbock, Texas |
| Authorized Official Name and Position | Criag Fleming Copeland (OWNER/DMD) |
| Authorized Official Contact | 9402207833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4th Street Dental, Pllc 3600 E Mckinney St Ste 100 Denton TX 76209-7557 Ph: (940) 312-5626 | 4th Street Dental, Pllc 5709 4th St Lubbock TX 79416 Ph: (940) 220-7833 |
| NPI Number | 1306347711 |
|---|---|
| Provider Enumeration Date | 02/22/2018 |
| Last Update Date | 07/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306347711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 25735 (Texas) | Primary |
Special Needs Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2420 Quaker Ave, Suite 101, Lubbock, TX 79410 Phone: 806-701-5066 | |
Abbeville Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 405 Slide Rd, Lubbock, TX 79416 Phone: 806-712-4082 Fax: 806-798-1168 | |
Hancock And Johnston Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11010 Quaker Avenue, Lubbock, TX 79424 Phone: 806-797-6453 Fax: 806-791-2273 | |
Cecily L. Jackson, Dds, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3233 63rd St, Suite A, Lubbock, TX 79413 Phone: 806-789-9870 | |
Jason P. White, Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4425 98th St Ste 300, Lubbock, TX 79424 Phone: 806-795-5226 Fax: 806-795-0362 | |
Parkview Pediatric Dental Holdings, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7515 Quaker Ave Ste 100, Lubbock, TX 79424 Phone: 806-796-2408 | |
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