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
511 E Genesee StFayetteville, NY 13066-1524
Phone: (315) 637-4616
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
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 |
| Mailing address | 511 E Genesee St, Fayetteville, NY 13066-1524 |
Other providers in Fayetteville
-
Dr. Meghna Nanda Cheruvatath, MD
4000 Medical Center Dr Ste 104, Fayetteville, NY 13066 · (315) 633-0059
-
Christine Harris
4000 Medical Center Dr Ste 502, Fayetteville, NY 13066 · (315) 703-2780
-
Anna Hsu
4100 Medical Center Dr Ste 502, Fayetteville, NY 13066 · (703) 505-9983
-
Vanessa Lalley-Demong, DO
4000 Medical Center Dr Ste 104, Fayetteville, NY 13066-6635 · (315) 663-0059
-
Dr. Theresa A Waters, DO
510 Towne Dr, Fayetteville, NY 13066-1331 · (315) 663-0500
-
Danielle Geneva Weekes, MD
6800 E Genesee St Ste 1501, Fayetteville, NY 13066-1097 · (315) 445-0003