| Jimmy F Maxwell Dmd Pc | |
|
500 Amelia Avenue Bainbridge GA 39818-0727 | |
| (229) 246-3023 | |
| (229) 246-3024 |
| Full Name | Jimmy F Maxwell Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 500 Amelia Avenue, Bainbridge, Georgia |
| Authorized Official Name and Position | Jimmy Foster Maxwell (OWNER DENTIST) |
| Authorized Official Contact | 2292463023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jimmy F Maxwell Dmd Pc Po Box 727 500 Amelia Avenue Bainbridge GA 39818-0727 Ph: (229) 246-3023 | Jimmy F Maxwell Dmd Pc 500 Amelia Avenue Bainbridge GA 39818-0727 Ph: (229) 246-3023 |
| NPI Number | 1750346102 |
|---|---|
| Provider Enumeration Date | 04/19/2006 |
| Last Update Date | 09/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750346102 | NPI | - | NPPES |
| RPHO11407 | Other | GA | GEORGIA BOARD OF PHARMACY |
| 00245341A4 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN009648 (Georgia) | Primary |
| 122300000X | Dentist | DN9728 (Florida) | Secondary |
| 122300000X | Dentist | DS0000007704 (Tennessee) | Secondary |
Georgia Dental Associates Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Amelia Ave, Bainbridge, GA 39819 Phone: 229-246-3023 | |
Georgia Dental Associates, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Amelia Ave, Bainbridge, GA 39819 Phone: 229-246-3023 Fax: 229-246-0073 | |
Port City Family Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 E Shotwell St, Bainbridge, GA 39819 Phone: 229-246-5081 Fax: 229-246-5011 | |
Clarence E. Bush, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 144 Whigham Dairy Rd, Bainbridge, GA 39817 Phone: 229-246-9986 Fax: 229-246-7492 | |
Nicholas V. Adams Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S West St, Bainbridge, GA 39819 Phone: 229-246-2366 |