Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin Jay Shively Jr., DMD

Individual provider Dentist · NPI 1588096390

Dr. Kevin Jay Shively Jr., DMD is a Dentist in Lubbock, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2013
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

12219 Quaker Ave Ste A
Lubbock, TX 79424-7783
Phone: (806) 698-8660
Fax: (806) 319-3878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Unit 28038, Apo, AE 09112 — 011499622834738

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 34543 (TX)

Record details

NPI number1588096390
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 2, 2013
Last updated in NPPESMarch 17, 2021
Certification dateMarch 17, 2021

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