| Igneous Dental Pllc | |
|
4903 82nd St Ste 20 Lubbock TX 79424-3123 | |
| (806) 798-2996 | |
| (806) 798-2998 |
| Full Name | Igneous Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4903 82nd St Ste 20, Lubbock, Texas |
| Authorized Official Name and Position | Shelby Potts (OFFICE MANAGER) |
| Authorized Official Contact | 8067982996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Igneous Dental Pllc 10901 Quaker Ave Lubbock TX 79424-8315 Ph: (806) 300-8000 | Igneous Dental Pllc 4903 82nd St Ste 20 Lubbock TX 79424-3123 Ph: (806) 798-2996 |
| NPI Number | 1295672343 |
|---|---|
| Provider Enumeration Date | 04/29/2026 |
| Last Update Date | 04/29/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295672343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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