Dr. Dutran Tyler Do
Dentist Oral & Maxillofacial Surgeon
5 E 19th St 5th Floor
New York
, New York 10003-1107
Dr. Dutran Tyler Do
Dentist Oral & Maxillofacial Surgeon
5 E 19th St 5th Floor
New York
, New York 10003-1107
(203) 309-2839
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About
Features
Specialties
- Dentist
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Dutran Tyler Do
- 5 E 19th St 5th Floor
- New York, NY
- Zip : 10003-1107
- Phone : (203) 309-2839
Second Address
- Dr. Dutran Tyler Do
- 5 E 19th St 5th Floor
- New York, NY
- Zip : 10003-1107
- Phone : (203) 309-2839
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What type of doctor is Dr. Dutran Tyler Do
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Where is Dr. Dutran Tyler Do ’s practice located?
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Is Dr. Dutran Tyler Do a sole practitioner?
Is Dr. Dutran Tyler Do accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 010267 | CT |
| N | 122300000X | Dentist | 052760 | NY |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 049194 | CT |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 257471 | NY |
National Provider Identifier
| NPI | 1053490961 |
|---|---|
| Provider Name | Dr. Dutran Tyler Do |
| First Address | New York, NY 10003-1107 |
| Second Address | New York, NY 10003-1107 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2006 |
| Last Update Date | 16/02/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.