Organization
CRESTWOOD DENTAL GROUP MAXWELL DMD PC
Active
Other names
Crestwood Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES WILLIAM MAXWELL JR. DMD (PRESIDENT)
(314) 821-2134
Entity
Organization
Contact information
Practice address
10000 WATSON ROAD, SUITE J, ST LOUIS, MO 63126-1854
(314) 821-2134
(314) 821-0381
Mailing address
10000 WATSON ROAD, SUITE J, ST LOUIS, MO 63126-1854
(314) 821-2134
(314) 821-0381
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2002029903
MO
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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