Clyde A. Maxwell Jr., Pa

LBN: Dr. Clyde A. Maxwell Jr, Pa
Clyde A. Maxwell Jr., Pa is an health care organization with primary practice located at 303 E Lea Blvd , Wilmington DE 19802-2353. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Dr. Clyde A. Maxwell Jr, Pa can be contacted via phone (302) 765-3373, or through Maxwell, Clyde A via phone (302) 476-8896.

Contact Information

Primary practice address
303 E Lea Blvd Wilmington DE 19802-2353
Phone: (302) 765-3373
Fax: (302) 765-3379
Website:
Map and Directions
Authorized official contact:
Name: Maxwell, Clyde A Doctor of Dental Surgery (DDS)
Phone: (302) 476-8896

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X G1-0001159 Delaware

Profile Details

NPI number 1053464560
LBN Legal business name Dr. Clyde A. Maxwell Jr, Pa
DBA Doing business as Clyde A. Maxwell Jr., Pa
Authorized official Maxwell, Clyde A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Jun 29th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053464560 NPPES
Delaware MEDICAID 1000040828

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