Organization · Type 2 NPI
Charles B. Maxwell, Dmd, PA
Clinic/Center · Johnsonville, SC
NPI number
1851345557
Active
Practice location
144 East Broadway St.
Johnsonville, SC 29555-0297
Fax (843) 386-2279
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 2117 (SC) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
About NPI 1851345557
Charles B. Maxwell, Dmd, PA's National Provider Identifier is 1851345557, issued on May 19, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Johnsonville, SC. The record was last updated on Aug 22, 2020.