EASTSIDE SMILES
NPI 1215259684
Dentist in Austin, TX

Active since February 25, 2010
4410 E RIVERSIDE DR, SUITE 150, AUSTIN, TX 78741(512) 385-4700 Get Directions Write a Review

NPPES record last updated: February 25, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eastside Smiles NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTSIDE SMILES (NPI 1215259684) is a healthcare organization registered as a dentist in Austin, Texas and active in the NPI registry since February 2010. The organization lists Jackson R Booth, President, as its authorized official.

NPPES Registry Identity

NPI1215259684
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSOUTHPARK SMILES, PC
Location Address4410 E RIVERSIDE DR, SUITE 150Austin, TX 78741-4799
Mailing Address9500 South Ih 35, Suite E 400Austin, TX 78748-1990 · (512) 282-7200 · Fax (512) 282-7204
Organization SubpartNo
Authorized OfficialJackson R BoothPresident · (512) 282-7200
Enumeration DateFebruary 25, 2010
NPI 1215259684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in TX · 23496
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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4410 E RIVERSIDE DR, Austin, TX 78741

Other Names 1

Doing Business AsEastside Smiles

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
4410 E RIVERSIDE DR, SUITE 150
AUSTIN, TX 78741
Dentist
4410 E RIVERSIDE DR, SUITE 150
AUSTIN, TX 78741
Dentist (General Practice)
4410 E RIVERSIDE DR, #150
AUSTIN, TX 78741
Dentist (General Practice)
4410 E RIVERSIDE DR
AUSTIN, TX 78741
Dentist (General Practice)
4410 E RIVERSIDE DR, SUITE 150
AUSTIN, TX 78741

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southpark Smiles, PC's NPI number?

The NPI number for Southpark Smiles, PC is 1215259684. It was assigned to this organization in the NPPES registry on February 25, 2010. The provider is doing business as Eastside Smiles.

Where is Southpark Smiles, PC located?

Southpark Smiles, PC is located at 4410 E Riverside Dr Suite 150, Austin, TX 78741. The listed phone number is (512) 385-4700.

What is Southpark Smiles, PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Southpark Smiles, PC was last updated on February 25, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.