Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

South Plains Pediatric Dental Group

Organization Pediatric Dentistry · NPI 1093923211

South Plains Pediatric Dental Group provides Pediatric Dentistry in Lubbock, Texas. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

5102 Salem Ave
Lubbock, TX 79414-4036 Not confirmed with CMS for 18 years — call before visiting
Phone: (806) 795-9503
Fax: (806) 795-2920
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1093923211
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Johnson — Partner Owner · (806) 795-9503
NPI enumeratedMay 20, 2007
Last updated in NPPESDecember 5, 2007
Mailing address5102 Salem Ave, Lubbock, TX 79414-4036

Other providers in Lubbock