Individual
DR. CANAAN BURKE TYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
500 FEDERAL ST STE 600, TROY, NY 12180-2832
(518) 274-4322
Mailing address
500 FEDERAL ST STE 600, TROY, NY 12180-2832
(518) 683-0756
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
060709
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2016
Last updated
02/13/2025
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