David R. Maxwell, DDS, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22628 Issued in TX

Legal business name

DAVID R. MAXWELL, DDS, P.C.

Doing business as

Maximum Smiles Dental Center

Practice address

2245 Ridge Rd
Suite 125
Rockwall, TX 75087-5172

Phone

(214) 771-0058

Fax

(469) 402-0135

NPI assigned

Oct 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. David Roketha Maxwell, DDS

Title

Dentist/Owner

Phone

(214) 771-0058

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maximum Smiles Dental Center Doing business as

Locations

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

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318636800000",
    "number": "1700161395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 RIDGE ROAD",
            "address_2": "SUITE 125",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "75087",
            "telephone_number": "214-771-0058",
            "fax_number": "469-402-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 RIDGE RD",
            "address_2": "SUITE 125",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875172",
            "telephone_number": "214-771-0058",
            "fax_number": "469-402-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R. MAXWELL, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-15",
        "last_updated": "2011-10-15",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROKETHA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "214-771-0058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "22628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180376902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maximum Smiles Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Dauksavage, DNP, FNP-C
• Dave Watson & Associates LLC
• Bryce Davenport, IDC
• David L. Miller, D,D.S., PA
• David M McGaffin DDS PA
• David W. Ritter, M.D., P.a.
• Carolann David, LPC
• Wendy Mary Davidson, LPT
• Draak Karras Davis, D.M.D
• Jana L Davis, PA

• Dental Clinic/Center in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.