Individual
DR. JAY B MAXFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1950 E TUSCARAWAS ST, CANTON, OH 44707-2953
(330) 454-2000
(330) 454-6184
Mailing address
1950 E TUSCARAWAS ST, CANTON, OH 44707-2953
(330) 454-2000
(330) 454-6184
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-013935
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2381051
—
OH
Enumeration date
06/27/2006
Last updated
07/09/2007
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