Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARCIE MLISS MAXHAM, DDS
ActiveMARCIE MLISS MAXHAM, DDS is a Dentist healthcare provider located in FORT BRAGG, California. NPI 1568594216 is currently active in the NPPES registry. Verify at CMS.
Dentist · FORT BRAGG, CA
Registration Details
- NPI Number
- 1568594216
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 9, 2007 (19.251606750984 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DG031665 (CA)
Practice Information
- Address
-
205 SOUTH STREETFORT BRAGG, CA, 954375540Browse CA providers · Browse ZIP 95437
- Phone
- 7079641251
- Fax
- 7079612722
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in FORT BRAGG, CA
| Name | Credential | NPI |
|---|---|---|
| DR. ROBERT DONALD BRUCE | DDS | 1881605269 |
| DR. JAMES FREDERICK MATTSON | DDS | 1093898215 |
| DR. TADEUS ULATOWSKI | DDS | 1982728440 |
| DR. MARK A NASH | DDS | 1790809259 |
| DR. RODERICK E. MCMILLEN JR. | D.D.S. | 1457503310 |
| DR. M. LEE BAKER | DDS | 1043455827 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.