PERMIAN BASIN DENTAL GROUP – Dentist, NPI 1972625978

PERMIAN BASIN DENTAL GROUP is a healthcare provider. based in Odessa, Texas. specializing in Dentist. The organization holds a License No. 12663 (TX). The NPI Number for PERMIAN BASIN DENTAL GROUP is 1972625978

Main info

Organization
Name
PERMIAN BASIN DENTAL GROUP
NPI
1972625978
Phone
(432) 563-1760
Address
2631 FAUDREE RD UNIT B
Authorized Official
DR. KENNETH WELBY HIGGINS OWNER D.D.S.
Enumeration Date
3 April 2007
Last Update Date
8 August 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for PERMIAN BASIN DENTAL GROUP

  • 2631 FAUDREE RD UNIT B

    ODESSA, TX 797658530

    Phone: (432) 563-1760

    Fax: (432) 563-1763

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79765)

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Frequently asked questions

How do I look up PERMIAN BASIN DENTAL GROUP by NPI?
Use NPI 1972625978 when you need to reference PERMIAN BASIN DENTAL GROUP in forms, claims, or directories.
Is PERMIAN BASIN DENTAL GROUP's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is PERMIAN BASIN DENTAL GROUP?
The page reflects Dentist for PERMIAN BASIN DENTAL GROUP. Clinical services aligned with this taxonomy classification.
Where is PERMIAN BASIN DENTAL GROUP's primary listing?
We display Odessa, Texas because that is what the record indicates for PERMIAN BASIN DENTAL GROUP.
Is PERMIAN BASIN DENTAL GROUP a real provider?
This page reflects official NPPES data for NPI 1972625978. Always confirm identity and privileges with the practice and licensing boards.

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