Organization
CHARLES S. MAXWELL DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES STACY MAXWELL DDS (OWNER)
(910) 424-1918
Entity
Organization
Contact information
Practice address
4950 CAMERON RD, HOPE MILLS, NC 28348-2456
(910) 424-1918
Mailing address
4950 CAMERON RD, HOPE MILLS, NC 28348-2456
(910) 424-1918
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
04663
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8995579
—
NC
Enumeration date
06/21/2007
Last updated
08/22/2020
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