Organization
JAMES A MAXWELL JR DDS, INC
Active
Organization
JAMES A MAXWELL JR DDS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ALVIN MAXWELL JR. DDS,MS (R) (OWNER)
(937) 399-4476
Entity
Organization
Contact information
Practice address
2210 OLYMPIC ST, SPRINGFIELD, OH 45503-2737
(937) 399-4476
(937) 399-9623
Mailing address
2210 OLYMPIC ST, SPRINGFIELD, OH 45503-2737
(937) 399-4476
(937) 399-9623
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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