WESTSIDE DENTAL LLC NPI 1336896430

NPI Information

  • NPI: 1336896430
  • Provider Name: WESTSIDE DENTAL, LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 929 LEE ST SW
    SUITE A240
    ATLANTA, GA
    ZIP 30310
  • Phone: (859) 620-7587

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NPI Details

WESTSIDE DENTAL, LLC is a dental clinic center in Atlanta, GA. WESTSIDE DENTAL, LLC NPI is 1336896430. The provider is registered as an organization entity type.

The provider's business location address is:

929 LEE ST SW
SUITE A240
ATLANTA, GA
ZIP 30310
Phone: (859) 620-7587

The provider's authorized official is Nathanael Cole .
The authorized official title is Owner and has the following contact phone number (470) 548-2962.

The enumeration date for this NPI number is 3/8/2022 and was last updated on 4/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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