Provider Demographics
NPI:1790213486
Name:MAYS, TY ALLEN JR (DDS)
Entity type:Individual
Prefix:DR
First Name:TY
Middle Name:ALLEN
Last Name:MAYS
Suffix:JR
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 W ARLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:OK
Mailing Address - Zip Code:73096-2845
Mailing Address - Country:US
Mailing Address - Phone:580-302-3726
Mailing Address - Fax:
Practice Address - Street 1:516 W ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:OK
Practice Address - Zip Code:73096-2845
Practice Address - Country:US
Practice Address - Phone:580-302-3726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-25
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK69241223G0001X
NY061661390200000X
UT1420315399241223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0004XDental ProvidersDentistDental Anesthesiology
No1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program