Provider Demographics
NPI:1285968545
Name:TROXLER, JEREMY KAYNE (DMD)
Entity type:Individual
Prefix:DR
First Name:JEREMY
Middle Name:KAYNE
Last Name:TROXLER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 13TH ST NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44703-3121
Mailing Address - Country:US
Mailing Address - Phone:330-453-8787
Mailing Address - Fax:
Practice Address - Street 1:603 13TH ST NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44703-3121
Practice Address - Country:US
Practice Address - Phone:330-453-8787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-18
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-023119122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist