Individual provider · Type 1 NPI
Maxwell Theodore Dismuke, DDS
Dentist · Redway, CA
Practice location
217 Briceland Thorn Rd
Redway, CA 95560
Mailing address
PO Box 769
Redway, CA 95560-0769
Other practice locations
- 101 West Coast Rd, Redway, CA 95560 · (707) 923-2783
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | 112497 (CA) |
Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…
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About NPI 1235098005
Maxwell Theodore Dismuke, DDS's National Provider Identifier is 1235098005, issued on Jan 19, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Redway, CA. The record was last updated on Sep 3, 2026.