Organization
DAVID R. MAXWELL, DDS, P.C.
Active
Other names
Maximum Smiles Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ROKETHA MAXWELL DDS (DENTIST/OWNER)
(214) 771-0058
Entity
Organization
Contact information
Practice address
2245 RIDGE RD, SUITE 125, ROCKWALL, TX 75087-5172
(214) 771-0058
(469) 402-0135
Mailing address
2245 RIDGE ROAD, SUITE 125, ROCKWALL, TX 75087
(214) 771-0058
(469) 402-0135
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22628
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180376902
—
TX
Enumeration date
10/15/2011
Last updated
10/15/2011
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