Westside Dental, Pllc in Tupelo - Dentist
Westside Dental, Pllc - NPI 1669596318
Westside Dental, Pllc is a Dentist in Tupelo, Mississippi. Westside Dental, Pllc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Westside Dental, Pllc is 1669596318. The last update date is 2023-06-23.
Westside Dental, Pllc'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 Westside Dental, Pllc is 3694 W Jackson St, Tupelo, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Westside Dental, Pllc |
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Address | 3694 W Jackson St, Tupelo, Mississippi |
Phone Number | 6628428035 |
Fax Number | 6628423018 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MANAGER |
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Authorized Official Name | Austin Lee Kenneth |
Credentials | DMD |
Telephone Number | 6628428035 |
NPI Number Detail
NPI Number | 1669596318 |
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Provider Enumeration Date | 2007-03-19 |
Last Updated Date | 2023-06-23 |
Provider Mailing Address Detail
Address | 3694 W Jackson St |
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City | Tupelo |
State | Mississippi (MS) |
Post Code | 38801 |
Phone Number | 6628428035 |
Fax Number | 6628423018 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | 298897 |
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 |
Post Comment/ Review Below
What is the unique provider identifier assigned to Westside Dental, Pllc?
The Westside Dental, Pllc has been issued the NPI (National Provider Identifier) 1669596318 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Westside Dental, Pllc's facilities are situated?
The facilities of Westside Dental, Pllc are physically located at the following address: 3694 W Jackson St, Tupelo, MS, 38801.
What is Westside Dental, Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Westside Dental, Pllc is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1669596318 to Westside Dental, Pllc?
The Centers for Medicare & Medicaid Services assigned the 1669596318 to Westside Dental, Pllc on 2007-03-19.
As of what date was the information regarding Westside Dental, Pllc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Westside Dental, Pllc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-06-23.