Individual provider · Type 1 NPI
Tyler J. Maxwell
General Practice Dentistry · Fayetteville, NY
NPI number
1396273298
Active
Practice location
511 E Genesee St
Fayetteville, NY 13066-1524
Other practice locations
- 90 Presidential Plz, Syracuse, NY 13202-2240 · (315) 464-4148
- 90 Presidential Plz, Syracuse, NY 13202-2240 · (315) 464-4148
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| General Practice Dentistry Primary | 1223G0001X | 059837 (NY) |
General Practice Dentistry: 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.
4 other providers at this address
- Green Lakes Dental, LLPDental Clinic/Center Fayetteville, NY NPI 1174259212
- Julie L Riedl IncDialysis Equipment & Supplies (DME) Fayetteville, NY NPI 1750876033
- Mindbody Connection Massage & FitnessClinic/Center Fayetteville, NY NPI 1538644323
- Melissa Traino, LMTMassage Therapist Fayetteville, NY NPI 1144866625
Other general practice dentistry providers in Fayetteville
- Keith Alan Alexander, DDSGeneral Practice Dentistry Fayetteville, NY NPI 1083885685
- Simone Reid, DDSGeneral Practice Dentistry Fayetteville, NY NPI 1093853392
- Francis P. McKevitt, DDSGeneral Practice Dentistry Fayetteville, NY NPI 1154524080
- Mark Morchower, DDSGeneral Practice Dentistry Fayetteville, NY NPI 1275659906
- Michael J. Miller, DDSGeneral Practice Dentistry Fayetteville, NY NPI 1508994666
- Steven A. Procopio Jr., DDSGeneral Practice Dentistry Fayetteville, NY NPI 1518078278
- Dana Rae Brompton, DDSGeneral Practice Dentistry Fayetteville, NY NPI 1518603331
- Kevin Francis Sorge, DDSGeneral Practice Dentistry Fayetteville, NY NPI 1639337330
About NPI 1396273298
Tyler J. Maxwell's National Provider Identifier is 1396273298, issued on May 23, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fayetteville, NY. The record was last updated on Jul 20, 2022.