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TYLER J MAXWELL
NPI 1396273298
Dentist - General Practice in Fayetteville, NY

Active since May 23, 2017
511 E GENESEE ST, FAYETTEVILLE, NY 13066(315) 637-4616 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2022, Nov 28, 2018, May 23, 2017 (3 updates tracked since 2017).

About Tyler J Maxwell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER J MAXWELL (NPI 1396273298) is an individual general practice provider in Fayetteville, New York, licensed in New York (059837) and active in the NPI registry since May 2017. He maintains a secondary practice location in Syracuse.

NPPES Registry Identity

NPI1396273298
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTYLER J MAXWELL
Location Address511 E GENESEE STFayetteville, NY 13066-1524
Mailing Address511 E Genesee StFayetteville, NY 13066-1524 · (315) 637-4616
Phone(315) 637-4616
Sole ProprietorNo
Enumeration DateMay 23, 2017
Last NPPES UpdateJuly 20, 20223 updates tracked since enumeration
NPPES CertifiedJuly 20, 2022
✔ NPI 1396273298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 059837
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
511 E GENESEE ST, Fayetteville, NY 13066
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Secondary Practice Location 1

Location 190 Presidential PlzSyracuse, NY 13202-2240 · Phone (315) 464-4148

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA TRAINO LMT
Massage Therapist
511 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 372-2307
GREEN LAKES DENTAL, LLP
Clinic/Center (Dental)
511 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-4616
MINDBODY CONNECTION MASSAGE & FITNESS
Clinic/Center
511 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 372-2307
JULIE L RIEDL INC
Durable Medical Equipment & Medical Supplies (Dialysis Equipment & Supplies)
511 E GENESEE ST
FAYETTEVILLE, NY 13066
Onondaga County (315) 637-2307

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Maxwell's NPI number?

The NPI number for Tyler Maxwell is 1396273298. It was assigned to this individual provider in the NPPES registry on May 23, 2017.

Where is Tyler Maxwell located?

Tyler Maxwell practices at 511 E Genesee St, Fayetteville, NY 13066. The listed phone number is (315) 637-4616.

What is Tyler Maxwell's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Tyler Maxwell accept?

Health plans from Anthem Blue Cross and Blue Shield list Tyler Maxwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler Maxwell was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.