Individual
DR. MAXIMILIAN JAMES SHUMAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10615 N HAYDEN RD STE C-104, SCOTTSDALE, AZ 85260-5734
(480) 905-7171
Mailing address
7950 E STARLIGHT WAY UNIT 246, SCOTTSDALE, AZ 85250-6142
(239) 777-6788
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011530
AZ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/05/2021
Last updated
08/04/2022
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