Dr. James William Maxwell Jr., DMD
Dentist, General Practice in Saint Louis, MO. Individual provider (NPI-1).
NPI number1891024956
StatusActive
Last updated in NPPESDec 15, 2020
Details
- NPI
- 1891024956
- Entity type
- Individual (NPI-1)
- Name
- Dr. James William Maxwell Jr.
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 18, 2009
- Certification date
- Dec 14, 2020
- Last updated
- Dec 15, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 202029903 | MO | Yes |
Practice location
10000 Watson Road, South Building, Suite JSaint Louis, MO 63126-1854
Phone 314-463-5655 · Fax 314-821-0381
Mailing address
10000 Watson RoadSouth Building Suite J
Saint Louis, MO 63126
Phone 314-463-5655 · Fax 314-821-0381
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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