Individual
DR. THOMAS ALAN MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
179 GARRETT WAY NW, MILLEDGEVILLE, GA 31061
(478) 453-3004
(478) 454-2003
Mailing address
179 GARRETT WAY NW, MILLEDGEVILLE, GA 31061
(478) 453-3004
(478) 454-2003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN008895
GA
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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