Crestwood Dental Group

LBN: Crestwood Dental Group Maxwell Dmd Pc
Crestwood Dental Group is an health care organization with primary practice located at 10000 Watson Road Suite J, St Louis MO 63126-1854. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Crestwood Dental Group Maxwell Dmd Pc can be contacted via phone (314) 821-2134, or through Maxwell, James William via phone (314) 821-2134.

Contact Information

Primary practice address
10000 Watson Road Suite J St Louis MO 63126-1854
Fax: (314) 821-0381
Website:
Authorized official contact:
Name: Maxwell, James William Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2002029903 Missouri

Profile Details

NPI number 1184721268
LBN Legal business name Crestwood Dental Group Maxwell Dmd Pc
DBA Doing business as Crestwood Dental Group
Authorized official Maxwell, James William Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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