Individual provider · Type 1 NPI

Mazen Atout, DMD

General Practice Dentistry · Tyler, TX

NPI number 1306737531 Active

Practice location

5605 Old Bullard Rd Ste A
Tyler, TX 75703-4306

Mailing address

5605 Old Bullard Rd
Tyler, TX 75703-4306

Other practice locations

  • 1584 W Base Line St Ste 103, San Bernardino, CA 92411-1746 · (909) 885-3100
  • 1744 University Ave Ste 102, Riverside, CA 92507-5364 · (951) 782-9585

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X42345 (TX)
General Practice Dentistry 1223G0001X113107 (CA)
Dentist 122300000X42345 (TX)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

General Practice Dentistry: 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.

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About NPI 1306737531

Mazen Atout, DMD's National Provider Identifier is 1306737531, issued on Jul 15, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Tyler, TX. The record was last updated on Jul 16, 2026.