Dr. Dietmar A Kennel is a Lubbock, Texas based Pediatric Dentist who is specialized in
Pediatric Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Dietmar A Kennel is
19264 for Pediatric Dentistry in Texas. His current practice location is
1504 Buddy Holly Ave, Lubbock. Patients can reach him at
806-749-5437.
Dr. Dietmar A Kennel provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Dietmar A Kennel speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Dietmar A Kennel |
| Specialization: | Pediatric Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1504 Buddy Holly Ave, Lubbock,
Texas, 79401-5131 |
| Phone: | 806-749-5437 |
| Fax: | 806-744-7241 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1013926955 |
| NPI Enumeration Date: | 07 Aug, 2006 |
| NPI Last Update On: | 02 Feb, 2009 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Dietmar A Kennel are as mentioned below.
| License Number | Specialization | State | Status | |
| 19264 | Pediatric Dentistry | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Dietmar A Kennel such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1112112-02 | Medicaid | Texas | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5601 County Road 1440,
Lubbock, Texas |
| Zip: | 79407-5785 |
| Phone Number: | 806-438-0481 |
| Fax Number: | 806-368-9984 |
Patients can reach Dr. Dietmar A Kennel at
1504 Buddy Holly Ave, Lubbock, Texas or can
call to book an appointment on 806-749-5437.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.