Tyler J Maxwell
Tyler J Maxwell is a Student in an Organized Health Care Education/Training Program in Fayetteville, New York. Works from 3 locations. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
Fayetteville, NYNo coordinates on file. Search this address in Google Maps
Additional practice locations (2)
- 90 Presidential Plz, Syracuse, NY 13202-2240 — (315) 464-4148
- 90 Presidential Plz, Syracuse, NY 13202-2240 — (315) 464-4148
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 059837 (NY) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1396273298 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 23, 2017 |
| Last updated in NPPES | July 20, 2022 |
| Certification date | July 20, 2022 |
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