Dr. Clyde a. Maxwell Jr, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR. CLYDE A. MAXWELL JR, PA

Doing business as

Maxwellness MD Health

Practice address

303 E Lea Blvd
Wilmington, DE 19802-2353

Phone

(302) 765-3373

Fax

(302) 765-3379

NPI assigned

Jan 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Clyde A Maxwell Jr., DDSNPI 1568478477

Title

Dentist

Phone

(302) 476-8896

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 2

• Maxwellness MD Health Doing business as
• Clyde A. Maxwell Jr., PA Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clyde A Maxwell Jr., D.D.S.

  • Dentist
  • Wilmington, DE
  • NPI 1568478477
  NPD Authorized official
• Shornett Codiann Fletcher, NP

  • Family Nurse Practitioner
  • Elkton, MD
  • NPI 1831922210
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1053464560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E LEA BLVD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198022353",
            "telephone_number": "302-476-8896",
            "fax_number": "302-842-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E LEA BLVD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198022353",
            "telephone_number": "302-765-3373",
            "fax_number": "302-765-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CLYDE A. MAXWELL JR, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "302-476-8896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "DE",
            "license": "G1-0001159",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000040828",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maxwellness MD Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clyde A. Maxwell Jr., PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Dental Clinic/Center in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Dental Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.