Individual
DR. JAMES WILLIAM MAXWELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10000 WATSON ROAD, SOUTH BUILDING, SUITE J, SAINT LOUIS, MO 63126-1854
(314) 463-5655
(314) 821-0381
Mailing address
10000 WATSON ROAD, SOUTH BUILDING SUITE J, SAINT LOUIS, MO 63126
(314) 463-5655
(314) 821-0381
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
202029903
MO
Other
Enumeration date
12/18/2009
Last updated
12/15/2020
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