Maxfield, Blake Jeremy

Maxfield, Blake Jeremy is an sole proprietor health care provider with primary practice located at 520 N 12Th St , Richmond VA 23298-5064. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Maxfield, Blake Jeremy can be contacted via phone (804) 828-0843.

Contact Information

Primary practice address
520 N 12Th St Richmond VA 23298-5064
Phone: (804) 828-0843
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 0 Virginia

Profile Details

NPI number 1750575163
LBN Legal business name Maxfield, Blake Jeremy
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2007
Last updated Aug 29th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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