Organization
CRAIG MAXWELL, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. B. CRAIG MAXWELL D.D.S. (PRESIDENT)
(417) 276-4417
Entity
Organization
Contact information
Practice address
201 WEST SMITH DRIVE, STOCKTON, MO 65785-0609
(417) 276-4417
(417) 276-6279
Mailing address
PO BOX 609, 201 WEST SMITH DRIVE, STOCKTON, MO 65785-0609
(417) 276-4417
(417) 276-6279
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2006000187
MO
Other
Enumeration date
11/23/2007
Last updated
11/23/2007
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