Dr. Dietmar A Kennel
Pediatric Dentist
1504 Buddy Holly Ave
Lubbock
, Texas 79401-5131
Dr. Dietmar A Kennel
Pediatric Dentist
1504 Buddy Holly Ave
Lubbock
, Texas 79401-5131
(806) 368-9984
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Dietmar A Kennel
- 5601 County Road 1440
- Lubbock, TX
- Zip : 79407-5785
- Fax : (806) 368-9984
- Phone : (806) 438-0481
Second Address
- Dr. Dietmar A Kennel
- 1504 Buddy Holly Ave
- Lubbock, TX
- Zip : 79401-5131
- Fax : (806) 744-7241
- Phone : (806) 749-5437
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FAQs
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Is Dr. Dietmar A Kennel a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 19264 | TX |
National Provider Identifier
| NPI | 1013926955 |
|---|---|
| Provider Name | Dr. Dietmar A Kennel |
| First Address | Lubbock, TX 79407-5785 |
| Second Address | Lubbock, TX 79401-5131 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/08/2006 |
| Last Update Date | 02/02/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1112112-02 | (05) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.