Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mazen Atout, DMD

Individual provider General Practice Dentistry · NPI 1306737531

Mazen Atout, DMD is a General Practice Dentistry in Tyler, Texas. Practices as a sole proprietor and works from 3 locations. Licensed in California and Texas.

Licensed in
CA, TX
In the registry since
2025
Specialties on file
4
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

5605 Old Bullard Rd Ste A
Tyler, TX 75703-4306
Phone: (903) 747-3919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 42345 (TX)
General Practice Dentistry Taxonomy 1223G0001X · Licence 113107 (CA)
Dentist Taxonomy 122300000X · Licence 42345 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1306737531
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 15, 2025
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing address5605 Old Bullard Rd, Tyler, TX 75703-4306

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