Jimmy F Maxwell Dmd Pc

LBN: Jimmy F Maxwell Dmd Pc
Jimmy F Maxwell Dmd Pc is an health care organization with primary practice located at 500 Amelia Avenue , Bainbridge GA 39818-0727. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Jimmy F Maxwell Dmd Pc can be contacted via phone (229) 246-3023, or through Maxwell, Jimmy Foster via phone (229) 246-3023.

Contact Information

Primary practice address
500 Amelia Avenue Bainbridge GA 39818-0727
Phone: (229) 246-3023
Fax: (229) 246-3024
Website:
Map and Directions
Authorized official contact:
Name: Maxwell, Jimmy Foster DMD PC
Phone: (229) 246-3023

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN009648 Georgia
Dental Providers / Dentist 122300000X DN9728 Florida
Dental Providers / Dentist 122300000X DS0000007704 Tennessee

Profile Details

NPI number 1750346102
LBN Legal business name Jimmy F Maxwell Dmd Pc
DBA Doing business as
Authorized official Maxwell, Jimmy Foster DMD PC
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2006
Last updated Sep 26th, 2012 - about 14 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 1750346102 NPPES
Georgia Other RPHO11407 GEORGIA BOARD OF PHARMACY
Georgia MEDICAID 00245341A4 GEORGIA BOARD OF PHARMACY

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