Atul Bidarkar

General Practice Dentistry · Tyler, TX

Individual Active NPI

NPI number 1194294926

Practice location

5605 Old Bullard Rd
Tyler, TX 75703-4306

Phone: (903) 747-3919

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NPI record

NPI: 1194294926
Entity type: Individual (Type 1)
Enumeration date: November 21, 2018
Last updated: November 21, 2018
Sole proprietor: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
General Practice Dentistry Primary	`1223G0001X`	34662	TX

Mailing address

1499 E Marshall Ave
Longview, TX 75601-6814

Phone: (319) 400-8989

Other practice locations (1)

1499 E Marshall Ave, Longview, TX 75601-6814 · (903) 212-4177

About Atul Bidarkar

Atul Bidarkar is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5605 Old Bullard Rd, Tyler, TX 75703-4306. The NPI number 1194294926 was assigned on November 21, 2018 and the record was last updated on November 21, 2018.

Atul Bidarkar lists a license in the registry: #34662 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Atul Bidarkar?

The NPI number is 1194294926.

What is the phone number of Atul Bidarkar?

The phone number listed for the practice location is (903) 747-3919.

Where is Atul Bidarkar located?

5605 Old Bullard Rd, Tyler, TX 75703-4306.

What is the taxonomy code for Atul Bidarkar?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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