DR. Charles B Maxwell, DMD
NPI #1215138516 in Johnsonville, South Carolina
Provider Information
- NPI Number
- 1215138516
- Entity Type
- Individual
- Name
- DR. Charles B Maxwell, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- May 31, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 144 EAST BROADWAY ST.
- Address 2
- 144 EAST BROADWAY ST.
- City
- Johnsonville
- State
- South Carolina
- ZIP Code
- 29555-0297
- Phone
- (843) 386-2833
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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