South Plains Pediatric Dental Group
NPI 1154504918ActiveOrganization· Dentist, Pediatric Dentistry· Lubbock, TX
Dentist, Pediatric Dentistry in Lubbock, Texas, registered in NPPES in December 2007, part of South Plains Pediatric Dental Group. The authorized official on file is Dietmar Kennel, DDS, Owner/Partner.
Overview
| NPI | 1154504918 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | South Plains Pediatric Dental Group |
| NPI issued | Dec 14, 2007 |
| Last updated in NPPES | Dec 14, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 19264 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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