Individual provider · Type 1 NPI
Mitra Nikpour, DDS
General Practice Dentistry · Tyler, TX
NPI number
1356085336
Active
Practice location
4164 S Broadway Ave # 822
Tyler, TX 75701-8719
Mailing address
4164 S Broadway Ave
Tyler, TX 75701-8719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 39056 (TX) |
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 1356085336
Mitra Nikpour, DDS's National Provider Identifier is 1356085336, issued on Apr 25, 2022. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Tyler, TX. The record was last updated on Aug 14, 2023.