| South Plains Dental Lamesa | |
|
1005 North 16th Street Lamesa TX 79331-3151 | |
| (806) 872-6310 | |
| (806) 872-6319 |
| Full Name | South Plains Dental Lamesa |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1005 North 16th Street, Lamesa, Texas |
| Authorized Official Name and Position | Judith Madura (CHIEF EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8068947842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Plains Dental Lamesa 1000 Fm 300 Levelland TX 79336-6235 Ph: (806) 897-1987 | South Plains Dental Lamesa 1005 North 16th Street Lamesa TX 79331-3151 Ph: (806) 872-6310 |
| NPI Number | 1144333063 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144333063 | NPI | - | NPPES |
| 180034401 | Medicaid | TX | |
| 019049801 | Medicaid | TX | |
| 386569302 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
El Paso Sunny Hills Family Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 N 14th St, Ep Sunny Hills Family Dental, Lamesa, TX 79331 Phone: 806-332-5090 | |
Lamesa Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 N Dallas Ave, Lamesa, TX 79331 Phone: 415-505-6970 | |
Joseph Craig Cowan Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 706 South First Street, Lamesa, TX 79331 Phone: 806-872-7664 Fax: 806-872-5334 |