Organization
JIM MAXEY, D.D.S., INC., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIM MAXEY DDS (PRESIDENT)
(918) 742-2424
Entity
Organization
Contact information
Practice address
5930 E 31ST ST, SUITE 600, TULSA, OK 74135-5107
(918) 742-2424
(918) 742-1253
Mailing address
5930 E 31ST ST, SUITE 600, TULSA, OK 74135-5107
(918) 742-2424
(918) 742-1253
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3569
OK
Other
Enumeration date
07/07/2005
Last updated
08/22/2020
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