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Active NPI 1336834159 Individual Practitioner Male Practitioner

Soheil Haftbaradaran

Dentist • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Soheil Haftbaradaran is a registered healthcare professional specializing in Dentist in Tyler, TX. Practice services are available at 4164 S BROADWAY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4164 S Broadway Ave

Tyler, TX 757018719

Telephone 9039390703
Associated Practice Facility / Clinic
🏢 Kunduru Dental Pllc Facility NPI 1629598586

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.7 Yrs
Regional Practice Density
47 Specialists

Practicing in Tyler, TX (6851 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

CMS Verified: 2026-07-01
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 42519

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1821616186

Doctor of Dental Medicine

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 01, 2026

Registered at 4164 S BROADWAY AVE, TYLER, TX 757018719 (Tel: 9039390703)

📍
Updated Business Mailing Address July 01, 2026

Registered at 6729 BEEMAN DR, PLANO, TX 750231803 (Tel: 2148288215)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2026

Dentist (License #42519 in TX)

NPI Profile Active April 07, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 07, 2023

Registered at 3302 GASTON AVE, DALLAS, TX 752462013 (Tel: 2148288215)

📍
Updated Business Mailing Address April 07, 2023

Registered at 3302 GASTON AVE, DALLAS, TX 752462013 (Tel: 2148288215)

👤
Provider Name / Credentials Updated April 07, 2023

Recorded as SOHEIL HAFTBARADARAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 07, 2023

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: 1336834159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2023
Last Update: July 01, 2026
Sole Proprietor: No

Mailing Address

6729 Beeman Dr

Plano, TX 750231803

Phone: 2148288215

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.