Lufkin Dentistry Pllc

NPI #1104464585 in Lufkin, Texas

Provider Information

NPI Number
1104464585
Entity Type
Organization
Organization Name
Lufkin Dentistry Pllc
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Dec 16, 2019
Last Updated
Dec 16, 2019

Practice Location

Address
1218 ELLIS AVE
City
Lufkin
State
Texas
ZIP Code
75904-3326
Phone
(936) 634-6119

Authorized Official

Name
AMANDA LIGHTFOOT
Title
CREDENTIALING MANAGER
Phone
(254) 338-1468

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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Individual Providers

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Organizations

Provider Name
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