OrganizationActive
South Plains Pediatric Dental Group
NPI 1154504918 · Pediatric Dentistry · Lubbock, TX
South Plains Pediatric Dental Group is a Pediatric Dentistry organization in Lubbock, TX (NPI 1154504918).
Provider details
- NPI number
- 1154504918
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Parent organization
- South Plains Pediatric Dental Group
- Organization subpart
- Yes
- Authorized official
- Dietmar Kennel, Owner/Partner(806) 795-9503
- License
- 19264 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
5102 Salem Ave
Lubbock, TX 79414-4036
Phone: (806) 795-9503
Street-level locationGet directions
Mailing address
5102 Salem Ave
Lubbock, TX 79414-4036
Registry dates
- Enumerated
- 2007-12-14
- Last updated
- 2007-12-14
Frequently asked questions
- What is South Plains Pediatric Dental Group's NPI number?
- South Plains Pediatric Dental Group's National Provider Identifier (NPI) is 1154504918, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Plains Pediatric Dental Group?
- South Plains Pediatric Dental Group is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is South Plains Pediatric Dental Group located?
- South Plains Pediatric Dental Group's practice location on file with NPPES is 5102 Salem Ave, Lubbock, TX 79414-4036.
- What is South Plains Pediatric Dental Group's phone number?
- The practice phone number listed in the NPPES registry for South Plains Pediatric Dental Group is (806) 795-9503.
- Who is the authorized official for South Plains Pediatric Dental Group?
- The authorized official listed on South Plains Pediatric Dental Group's NPPES record is Dietmar Kennel, Owner/Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Plains Pediatric Dental Group's NPI active?
- Yes — South Plains Pediatric Dental Group's NPI (1154504918) is active in the NPPES registry as of the last update on 2007-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.