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Organization
DR. CLYDE A. MAXWELL JR, PA
Active
Organization
DR. CLYDE A. MAXWELL JR, PA
Active
Other names
Clyde A. Maxwell Jr., PA, Maxwellness MD Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLYDE A MAXWELL JR. DDS (DENTIST)
(302) 476-8896
Entity
Organization
Contact information
Practice address
303 E LEA BLVD, WILMINGTON, DE 19802-2353
(302) 765-3373
(302) 765-3379
Mailing address
303 E LEA BLVD, WILMINGTON, DE 19802-2353
(302) 476-8896
(302) 842-2159
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G1-0001159
DE
261QD0000X
Dental Clinic/Center
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
G1-0001159
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000040828
—
DE
Enumeration date
01/19/2007
Last updated
05/13/2026
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