CRAIG MAXWELL, D.D.S., P.C. (NPI# 1962683524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962683524 |
Entity Type | Organization |
Organization Name | CRAIG MAXWELL, D.D.S., P.C. |
Practice Address |
201 West Smith Drive Stockton MO 65785-0609 |
Mailing Address |
Po Box 609 201 West Smith Drive Stockton MO 65785-0609 |
Practice Telephone | 4172764417 |
Practice Fax Number | 4172766279 |
Mailing Telephone | 4172764417 |
Mailing Fax Number | 4172766279 |
Enumeration Date | 2007-11-23 |
Last Update Date | 2007-11-23 |
Authorized Official Name | DR. B. CRAIG MAXWELL (PRESIDENT) |
Authorized Official Telephone | 4172764417 |
Authorized Official Credential | D.D.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
2006000187 | MO | Dental Providers |
Street Address |
201 WEST SMITH DRIVE |
City | STOCKTON |
State | MO |
Zip Code | 65785-0609 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891017356 | Debbie Lynn Haines | Pharmacy Technician | 19 Public Square, Stockton, MO 65785 | 2010-02-24 |
1316003759 | Cheryl Thornton | Psychologist | 808 South St, Stockton, MO 65785 | 2006-12-29 |
1336192582 | Rodger S Campbell | Emergency Medicine | 106 West Blair Drive, Stockton, MO 65785 | 2006-05-18 |
1134109713 | Citizens Memorial Health Care Foundation | Skilled Nursing Facility | 811 Owens Mill Rd, Stockton, MO 65785 | 2006-01-19 |
1376865865 | Katherine Marie Hicks | Pharmacy Technician | 19 Public Square, Stockton, MO 65785 | 2010-02-24 |
1639212608 | Stockton R-i School District | Physical Therapist | 906 South St, Stockton, MO 65785 | 2007-02-15 |
1114249752 | Karen Sue Purtle | Pharmacist | 19 Public Square, Stockton, MO 65785-0189 | 2010-02-24 |
1801921366 | Emily F Green | Speech-Language Pathologist | 906 Sout St, Stockton R-i School District, Stockton, MO 65785-0190 | 2007-02-23 |
1942223649 | Troy Devon Evans | Chiropractor | 107 W Hwy 32, Suite D, Stockton, MO 65785-0384 | 2006-07-25 |
1609885524 | Neale Wayne Johnson | Dentist | 201 W. Smith Dr., Stockton, MO 65785-0609 | 2006-08-07 |
Find all providers in zip 65785 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851901557 | Marcel Evan Acob | Dentist | 3453 Brookside Rd Ste A, Stockton, CA 95219-1788 | 2020-08-06 |
1124687314 | Jonathan Gordon Low | Dentist | 3031 W March Ln Ste 340, Stockton, CA 95219-6562 | 2019-06-11 |
1649746066 | Rommel K Bal Dds A Dental Corporation | Dentist | 1545 Saint Marks Plz Ste 1, Stockton, CA 95207-6411 | 2018-10-23 |
1487130191 | Rassiwala Dental Corporation | Dentist | 2043 E Fremont St Ste 8, Stockton, CA 95205 | 2018-07-16 |
1689079501 | Steven Mikkio Otani | Dentist | 618 Lincoln Ctr, Stockton, CA 95207-2639 | 2014-11-04 |
1104245398 | Bradley C. Louie, Dds, Inc. | Dentist | 4255 Pacific Ave Ste 1, Stockton, CA 95207-7638 | 2014-04-15 |
1497196737 | Nidhi Gupta | Dentist | 7860 West Ln, Stockton, CA 95210-3317 | 2013-07-16 |
1992064364 | Quan Vo Anh Nguyen Dds Inc | Dentist | 702 Porter Ave Ste F, Stockton, CA 95207-4297 | 2012-05-04 |
1649544404 | Cherie Diana Fiscus | Dentist | 4565 Quail Lakes Dr, Suite A2, Stockton, CA 95207-5294 | 2012-02-26 |
1760763767 | Leng C Haong Dds Inc | Dentist | 6323 Pacific Ave, Stockton, CA 95207 | 2011-09-02 |
Find all providers in STOCKTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.