Kenneth Lee Austin is a Dentist in Tupelo, Mississippi. Kenneth Lee Austin practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kenneth Lee Austin is 1043405590. The last update date is 2016-04-18.
Kenneth Lee Austin's current location address is 3694 W Jackson St, Tupelo, Mississippi. You can contact this provider via phone number 6628428035 and fax number 6628423018. The mailing address for Kenneth Lee Austin is 3694 W Jackson St, Tupelo, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Lee Austin |
|---|---|
| Address | 3694 W Jackson St, Tupelo, Mississippi |
| Phone Number | 6628428035 |
| Fax Number | 6628423018 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1043405590 |
|---|---|
| Provider Enumeration Date | 2007-09-07 |
| Last Updated Date | 2016-04-18 |
Provider Mailing Address Detail
| Address | 3694 W Jackson St |
|---|---|
| City | Tupelo |
| State | Mississippi (MS) |
| Post Code | 388017081 |
| Phone Number | 6628428035 |
| Fax Number | 6628423018 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2988-97 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1043405590 | DELTA DENTAL |
Post Comment/ Review Below
What is the Kenneth Lee Austin's unique identification number?
The Kenneth Lee Austin has been assigned the NPI (National Provider Identifier) Number 1043405590 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Kenneth Lee Austin is physically located?
The Kenneth Lee Austin is physically situated at the following address: 3694 W Jackson St, Tupelo, MS, 388017081.
What is the area of specialization for Kenneth Lee Austin, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth Lee Austin is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
When did Kenneth Lee Austin receive its 1043405590 assignment?
The Kenneth Lee Austin was assigned its 1043405590 on 2007-09-07, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Kenneth Lee Austin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kenneth Lee Austin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-04-18.
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