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Active NPI 1073740478 Individual Practitioner Male Practitioner

Dr. Antony Okinyi Odhiambo , DDS

Dentist - General Practice • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Dr. Antony Odhiambo, DDS is a registered healthcare professional specializing in Dentist - General Practice in Tyler, TX. Practice services are available at 5605 OLD BULLARD RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5605 Old Bullard Rd

Tyler, TX 757034306

Telephone 9037473919
Fax 9037473923
Associated Practice Facility / Clinic
🏢 Alpha First Dental Clinic P.a Facility NPI 1720325418

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
84 Specialists

Practicing in Tyler, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 24621

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Luke Dlabal , DDS

Dentist - General Practice

NPI 1023323896

Doctor of Dental Surgery

Atul Bidarkar

Dentist - General Practice

NPI 1194294926
Dr. Mazen Atout , DMD

Dentist - General Practice

NPI 1306737531

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 05, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2016

Registered at 5605 OLD BULLARD RD, TYLER, TX 757034306 (Tel: 9037473919)

📍
Updated Business Mailing Address November 05, 2016

Registered at 1499 E MARSHALL AVE, LONGVIEW, TX 756016814 (Tel: 9032429777)

👤
Provider Name / Credentials Updated November 05, 2016

Recorded as ANTONY ODHIAMBO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2016

Dentist (License #24621 in TX)

🟢
Initial NPI Registration & Enumeration June 12, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073740478
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2009
Last Update: November 05, 2016
Sole Proprietor: Yes

Mailing Address

1499 E Marshall Ave

Longview, TX 756016814

Phone: 9032429777

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.