NPI age
19 years
Enumerated 2007-05-20
● Active Type 2 · Organization
South Plains Pediatric Dental Group
South Plains Pediatric Dental Group is 1 of 1797 dentist organizations in Texas.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
Partner Owner
Last NPPES update
2007-12-05
Source: monthly bulk 2026-05
How this organization compares
Across 1797 active dentist providers in Texas.
NPI age
19 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
5102 Salem Ave
Lubbock, TX 794144036
Mailing address
5102 Salem Ave
Lubbock, TX 794144036
Authorized official
John Johnson, DDS
Partner Owner
📞 8067959503
Specialties
-
Dentist PrimaryAn age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Practice context
Single-site organization. Only one practice location on file.
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.