Craig Maxwell, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2006000187 Issued in MO

Legal business name

CRAIG MAXWELL, D.D.S., P.C.

Practice address

201 West Smith Drive
Stockton, MO 65785-0609

Phone

(417) 276-4417

Fax

(417) 276-6279

NPI assigned

Nov 23, 2007

Last updated

Nov 23, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. B. Craig Maxwell, D.D.S.

Title

President

Phone

(417) 276-4417

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1962683524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "address_2": "201 WEST SMITH DRIVE",
            "city": "STOCKTON",
            "state": "MO",
            "postal_code": "657850609",
            "telephone_number": "417-276-4417",
            "fax_number": "417-276-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WEST SMITH DRIVE",
            "city": "STOCKTON",
            "state": "MO",
            "postal_code": "657850609",
            "telephone_number": "417-276-4417",
            "fax_number": "417-276-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG MAXWELL, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "B.",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-276-4417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2006000187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedar County Memorial Hospital (Cedar County Family Clinic)
• Citizens Memorial Health Care Foundation (Lake Stockton Healthcare Facility)
• Citizens Memorial Health Care Foundation
• Citizens Memorial Healthcare (Stockton Family Medical Center)
• Erin Christie Corman, M.S., CADC
• Mary K Denyer, R.D.L.D
• Sandra Rae Divine, P.T.A
• Stephanie Anne Doty, FNP-C
• Deborah Duren-Smithey, CPM
• Troy Devon Evans, D.C.

• General Practice Dentistry in Stockton, MO
• Providers in Stockton, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.