NPI age
17 years
Enumerated 2009-02-09
● 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
Owner
Last NPPES update
2009-02-09
Source: monthly bulk 2026-05
How this organization compares
Across 1797 active dentist providers in Texas.
NPI age
17 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-02Enumerated in NPPES
2009
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
Owner
📞 8066878080
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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 079145101 | CSHCN (PROGRAM IN TEXAS FOR DISABLED CHILDREN) |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
John S Johnson, DDS
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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