Maxwell Theodore Dismuke, DDS

NPI #1235098005 in Long Beach, California

Provider Information

NPI Number: 1235098005
Entity Type: Individual
Name: Maxwell Theodore Dismuke, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 19, 2026
Last Updated: Jan 19, 2026

Practice Location

Address: 4220 PINE AVE
City: Long Beach
State: California
ZIP Code: 90807-1926
Phone: (562) 230-6292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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