4th Street Dental, PLLC
NPI 1306347711ActiveOrganization· Dentist, General Practice· Lubbock, TX
Dentist, General Practice in Lubbock, Texas, registered in NPPES in February 2018. The authorized official on file is Criag Fleming Copeland, DMD, Owner/Dmd.
Overview
| NPI | 1306347711 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 22, 2018 |
| Last updated in NPPES | Jul 27, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 25735 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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