WESTSIDE DENTAL, PLLC
NPI 1669596318
Dentist in Tupelo, MS

Active since March 19, 2007
3694 W JACKSON ST, TUPELO, MS 38801(662) 842-8035(662) 842-3018 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 23, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Westside Dental, Pllc NPPES

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

WESTSIDE DENTAL, PLLC (NPI 1669596318), doing business as Austin Dental Clinic Pc, is a healthcare organization registered as a dentist in Tupelo, Mississippi and active in the NPI registry since March 2007. The organization lists Kenneth Lee Austin, Manager, as its authorized official.

NPPES Registry Identity

NPI1669596318
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameWESTSIDE DENTAL, PLLC
Location Address3694 W JACKSON STTupelo, MS 38801
Mailing Address3694 W Jackson StTupelo, MS 38801 · (662) 842-8035 · Fax (662) 842-3018
Fax(662) 842-3018
Organization SubpartNo
Authorized OfficialKenneth Lee AustinManager · (662) 842-8035
Enumeration DateMarch 19, 2007
Last NPPES UpdateJune 23, 20232 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
NPI 1669596318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in MS · 303298 Licensed in MS · 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: 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.

3694 W JACKSON ST, Tupelo, MS 38801

Other Names 1

Former Legal Business NameAustin Dental Clinic Pc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Dentist
3694 W JACKSON ST
TUPELO, MS 38801
Dentist
3694 W JACKSON ST
TUPELO, MS 38801

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 Westside Dental, PLLC's NPI number?

The NPI number for Westside Dental, PLLC is 1669596318. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider was formerly known as Austin Dental Clinic PC.

Where is Westside Dental, PLLC located?

Westside Dental, PLLC is located at 3694 W Jackson St, Tupelo, MS 38801. The listed phone number is (662) 842-8035.

What is Westside Dental, PLLC'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 Westside Dental, PLLC was last updated on June 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.