Individual provider · Type 1 NPI

Brooks Wells Maddox III, DMD

General Practice Dentistry · Jonesboro, GA

NPI number 1740398379 Active

About NPI 1740398379

Brooks Wells Maddox III, DMD's National Provider Identifier is 1740398379, issued on Aug 25, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Jonesboro, GA. The record was last updated on Jul 8, 2007.