Tiwalade Abidoye, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36272 Issued in TX

Practice address

1932 E SE Loop 323
Tyler, TX 75701-8337

Phone

(430) 205-8686

NPI assigned

Feb 5, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Teefab Smiles Dental PLLC

  • General Practice Dentistry
  • Arlington, TX
  • NPI 1962223966

  General Practice

  NPD Authorized official
• Vincent Young, M.D., P.a.

  • Specialist
  • Dallas, TX
  • NPI 1235166125
  NPD (past)

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1639701923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E LAMAR BLVD STE 102",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760113600",
            "telephone_number": "323-445-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 E SE LOOP 323",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018337",
            "telephone_number": "430-205-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABIDOYE",
        "first_name": "TIWALADE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS104536",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abeldt Enterprises, Inc.
• Jeffrey V Abeldt
• Jaclyn Nicole Abell, LPC, NCC
• Nikita Abernathy
• Stacy Delyn Abernathy, MD
• Ellen Abney
• Crisy Abraham, MD
• Faith Abraham, LPC
• Jasson Thomas Abraham, MD
• Ann H Abrameit, M.D.

• All providers in Tyler, TX
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.