DR. Kenneth Lee Austin, DMD

NPI #1043405590 in Tupelo, Mississippi

Provider Information

NPI Number: 1043405590
Entity Type: Individual
Name: DR. Kenneth Lee Austin, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Sep 7, 2007
Last Updated: Apr 18, 2016

Practice Location

Address: 3694 W JACKSON ST
City: Tupelo
State: Mississippi
ZIP Code: 38801-7081
Phone: (662) 842-8035

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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