Tyrin Dmarque James Claxton
Dental Assistant
171 Inner Loop Road
Fort Irwin
, California 92310
Tyrin Dmarque James Claxton
Dental Assistant
171 Inner Loop Road
Fort Irwin
, California 92310
(719) 526-5537
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Tyrin Dmarque James Claxton
- 1631 Wetzel Ave Bldg 815
- Fort Carson, CO
- Zip : 80913-4095
- Phone : (719) 526-5537
Second Address
- Tyrin Dmarque James Claxton
- 171 Inner Loop Road
- Fort Irwin, CA
- Zip : 92310
- Phone : (719) 526-5537
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Is Tyrin Dmarque James Claxton a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant |
National Provider Identifier
| NPI | 1063978161 |
|---|---|
| Provider Name | Tyrin Dmarque James Claxton |
| First Address | Fort Carson, CO 80913-4095 |
| Second Address | Fort Irwin, CA 92310 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/02/2019 |
| Last Update Date | 13/02/2019 |
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.