Doctor profile · Federal record
Dr. Tyler Maxwell
General Practice Dentistry · Student in an Organized Health Care Education/Training Program · Fayetteville, NY
- NPI 1396273298
- 9 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
511 E Genesee St
Fayetteville, NY 130661524
(315) 637-4616 - Additional location
-
90 Presidential Plz
Syracuse, NY 132022240
(315) 464-4148
Credentials & registration
- NPI registered
- May 2017 — 9 yrs on file
- Profile last updated
- July 20, 2022
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- New York #059837
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1396273298. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$307
Transactions
5
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Premier Dental Products Company | 1 | $186.10 | |
| Benco Dental Supply Co. | 1 | $52.59 | |
| Straumann USA LLC | 1 | $46.84 | |
| Align Technology, Inc. | 2 | $21.16 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
125
Patients
73
Total drug cost
$1,470
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 68 | 49 | $134 |
| Doxycycline Hyclate | Generic | 36 | 12 | $1,253 |
| Chlorhexidine Gluconate | Generic | 21 | 12 | $83 |
Frequently asked questions
What is Dr. Tyler Maxwell's medical specialty?
Dr. Tyler Maxwell practices General Practice Dentistry in Fayetteville, NY.
Where does Dr. Tyler Maxwell practice?
Dr. Tyler Maxwell practices at 511 E Genesee St, Fayetteville, NY 130661524. Office phone: 3156374616.
What is Dr. Tyler Maxwell's NPI?
Dr. Tyler Maxwell's National Provider Identifier (NPI) is 1396273298, issued by NPPES.