| Craig Maxwell, D.d.s., P.c. | |
|
201 West Smith Drive Stockton MO 65785-0609 | |
| (417) 276-4417 | |
| (417) 276-6279 |
| Full Name | Craig Maxwell, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 201 West Smith Drive, Stockton, Missouri |
| Authorized Official Name and Position | B. Craig Maxwell (PRESIDENT) |
| Authorized Official Contact | 4172764417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig Maxwell, D.d.s., P.c. Po Box 609 201 West Smith Drive Stockton MO 65785-0609 Ph: (417) 276-4417 | Craig Maxwell, D.d.s., P.c. 201 West Smith Drive Stockton MO 65785-0609 Ph: (417) 276-4417 |
| NPI Number | 1962683524 |
|---|---|
| Provider Enumeration Date | 11/23/2007 |
| Last Update Date | 11/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962683524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2006000187 (Missouri) | Primary |