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
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
02/05/2026
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