Westside Dental, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

WESTSIDE DENTAL, LLC

Practice address

929 Lee St SW
Suite A240
Atlanta, GA 30310

Phone

(859) 620-7587

NPI assigned

Mar 8, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nathanael Cole, DMDNPI 1760864383

Title

Owner

Phone

(470) 548-2962

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathanael Cole, DMD

  • Dentist
  • Atlanta, GA
  • NPI 1760864383
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1336896430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "698 LEXINGTON AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303103536",
            "telephone_number": "859-620-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 LEE ST SW",
            "address_2": "SUITE A240",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30310",
            "telephone_number": "859-620-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "NATHANAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-548-2962",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Simons Weston, RN
• Julia Christina Westover, LMSW
• Gael Lyn Westphal Clifton, RBT
• Danielle Westphal, DPT
• Mollie Rachel Westrick
• Westside Physical Therapy, LLC
• Westside Sports Chiropractic
• Westside Urgent Care LLC
• Amy Wetter, M.D.
• Madeline Martha Armstrong Wetterhall, MD

• Dental Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.