Individual
MAXWELL C. ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS030396L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001911723001
—
PA
05
—
01911723
—
PA
01
—
20016597
AMERIHEALTH MERCY
PA
01
—
50000508
CAPITAL BLUE CROSS
PA
01
—
6461942001
CIGNA
PA
01
—
AD1382776
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/02/2006
Last updated
11/09/2011
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