Mazen Atout, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42345 Issued in TX

Practice address

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

Phone

(903) 747-3919

NPI assigned

Jul 15, 2025

Last updated

Jul 16, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alpha First Dental Clinic P.a

  • General Practice Dentistry
  • Tyler, TX
  • NPI 1720325418
  NPD (past)

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1306737531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 OLD BULLARD RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034306",
            "telephone_number": "903-747-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 OLD BULLARD RD STE A",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034306",
            "telephone_number": "903-747-3919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1584 W Base Line St Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924111746",
            "country_code": "US",
            "telephone_number": "909-885-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1744 University Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925075364",
            "country_code": "US",
            "telephone_number": "951-782-9585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATOUT",
        "first_name": "MAZEN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-15",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "42345",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "113107",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "42345",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Asumadu, PHARMD.
• Charles Aswell, CRNA
• Jessica Atkinson, PA
• Raymond E Atkinson, CRNA
• Thomas H. Atkinson, CRNA
• Atria Senior Living Group, Inc (Williow Park)
• Atria Senior Living Group, Inc. (Copeland)
• Bridget Attaway
• Shawna Aubrey
• Julie Ann Aucar, CPNP

• General Practice Dentistry in Tyler, TX
• Providers in Tyler, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; 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.