SOUTHPARK SMILES,PC
NPI 1922259266
Dentist - General Practice in Austin, TX

Q: What is Southpark Smiles,pc's NPI number?

The NPI number for Southpark Smiles,pc is 1922259266. It was assigned to this organization in the NPPES registry on October 6, 2008.

Q: What is Southpark Smiles,pc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since October 06, 2008

9500 S INTERSTATE 35, SUITE E-400, AUSTIN, TX 78748(512) 282-7200 Get Directions Write a Review

NPPES record last updated: October 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Southpark Smiles,pc NPPES

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

SOUTHPARK SMILES,PC (NPI 1922259266) is a healthcare organization registered as a general practice in Austin, Texas and active in the NPI registry since October 2008. The organization lists Jackson Robert Booth, Dentist, as its authorized official.

NPPES Registry Identity

NPI1922259266

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSOUTHPARK SMILES,PC

Location Address9500 S INTERSTATE 35, SUITE E-400Austin, TX 78748-1752

Mailing Address1603 Nash AveAustin, TX 78704-3331

Phone(512) 282-7200

Organization SubpartNo

Authorized OfficialJackson Robert BoothDentist · (512) 739-9440

Enumeration DateOctober 6, 2008

✔ NPI 1922259266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

9500 S INTERSTATE 35, Austin, TX 78748

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 1922259266. It was assigned to this organization in the NPPES registry on October 6, 2008.

Where is Southpark Smiles,pc located?

Southpark Smiles,pc is located at 9500 S Interstate 35 Suite E-400, Austin, TX 78748. The listed phone number is (512) 282-7200.

What is Southpark Smiles,pc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Southpark Smiles,pc accept?

Health plans from UnitedHealthcare list Southpark Smiles,pc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southpark Smiles,pc was last updated on October 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.