OrganizationActive
Special Needs Dentistry
NPI 1023408192 · Public Health Dentistry · Lubbock, TX
Provider details
- NPI number
- 1023408192
- Entity type
- Organization
- Primary specialty
- Public Health DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Russell Reddell, Owner/Manager(806) 701-5066
- License
- 19405 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2420 Quaker Ave
Suite 101
Lubbock, TX 79410-1817
Phone: (806) 701-5066
Street-level locationGet directions
Mailing address
16304 County Road 2040
Lubbock, TX 79423-4618
Registry dates
- Enumerated
- 2015-01-28
- Last updated
- 2015-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.