| Macdonald Tyska & Alexander Orthodontics | |
|
1077 Delaware Rd Tonawanda NY 14223-1056 | |
| (716) 875-0405 | |
| Not Available |
| Full Name | Macdonald Tyska & Alexander Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1077 Delaware Rd, Tonawanda, New York |
| Authorized Official Name and Position | Andrew L Macdonald (OWNER) |
| Authorized Official Contact | 7167598323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Macdonald Tyska & Alexander Orthodontics 9650 Main St Clarence NY 14031-2004 Ph: () - | Macdonald Tyska & Alexander Orthodontics 1077 Delaware Rd Tonawanda NY 14223-1056 Ph: (716) 875-0405 |
| NPI Number | 1568982049 |
|---|---|
| Provider Enumeration Date | 06/26/2017 |
| Last Update Date | 06/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568982049 | NPI | - | NPPES |
| 1871787259 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 042239 (New York) | Primary |
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