OrganizationActive
Southpark Smiles, PC
NPI 1215259684 · Dentist · Austin, TX
Provider details
- NPI number
- 1215259684
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jackson Booth, President(512) 282-7200
- License
- 23496 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4410 E Riverside Dr
Suite 150
Austin, TX 78741-4799
Phone: (512) 385-4700
Street-level locationGet directions
Mailing address
9500 South Ih 35
Austin, TX 78748-1990
Other names (DBA / former)
- Doing business as
- Eastside Smiles
Registry dates
- Enumerated
- 2010-02-25
- Last updated
- 2010-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.