Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southpark Smiles, PC

Organization Dentist · NPI 1215259684

Southpark Smiles, PC is a Dentist in Austin, Texas. Licensed in Texas. Registered with an NPI since 2010.

Licensed in
TX
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4410 E Riverside Dr Ste 150
Austin, TX 78741-4799
Phone: (512) 385-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 23496 (TX)

Record details

NPI number1215259684
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jackson Booth — President · (512) 282-7200
Other names Eastside Smiles
NPI enumeratedFebruary 25, 2010
Last updated in NPPESFebruary 25, 2010
Mailing address9500 South Ih 35, Suite E 400, Austin, TX 78748-1990

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