Individual
MAXWELL CHARLES BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3 K MART PLZ, GREENVILLE, SC 29605-4442
(864) 640-4246
Mailing address
201 GLEN ABBEY WAY, GREER, SC 29650-3289
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
9022
SC
1223G0001X
General Practice Dentistry
Primary
9022
SC
Other
Enumeration date
08/24/2017
Last updated
08/25/2017
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