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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.