MAZEN ATOUT DMD
NPI 1306737531
Dentist - General Practice in Tyler, TX
- Individual
- Male
- Dentist
- General Practice
About MAZEN ATOUT
This page provides the complete NPI Profile along with additional information for Mazen Atout, a provider established in Tyler, Texas with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1306737531 assigned on July 2025. The practitioner's primary taxonomy code is 1223G0001X with license number 42345 (TX). The provider is registered as an individual and his NPI record was last updated July 2026.
- NPI
- 1306737531 Verify this NPI
- Provider Name
- MAZEN ATOUT DMD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5605 OLD BULLARD RD STE A TYLER, TX 75703
- Location Phone
- (903) 747-3919
- Mailing Address
- 5605 OLD BULLARD RD TYLER, TX 75703
- Mailing Phone
- (903) 747-3919
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-15-2025
- Last Update Date
- 07-16-2026
- Code Navigator
A dentist like Mazen Atout is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Secondary Locations
- 1584 W Base Line St Ste 103
San Bernardino, CA 92411
(909) 885-3100 - 1744 University Ave Ste 102
Riverside, CA 92507
(951) 782-9585
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 42345
- License State
- TX
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 122300000X | Dental Providers | Dentist | 42345 (TX) |
| 2 | 1223G0001X | Dental Providers | Dentist | 113107 (CA) |
| 3 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | (CA) |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306737531, enumerated as an "individual" on July 15, 2025.
The provider is located at 5605 OLD BULLARD RD STE A TYLER, TX 75703 and the phone number is (903) 747-3919.
Dentist with taxonomy code 1223G0001X and a focus in General Practice.
