Maxwell, Charles Stacy
Maxwell, Charles Stacy is an sole proprietor health care provider with primary practice located at 4950 Cameron Rd , Hope Mills NC 28348-2456. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Maxwell, Charles Stacy can be contacted via phone (910) 424-1918.Contact Information
Primary practice address
4950 Cameron Rd
Hope Mills NC 28348-2456
Phone: (910) 424-1918
Fax: (910) 424-5893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 04663 | North Carolina |
Profile Details
| NPI number | 1164457982 |
|---|---|
| LBN Legal business name | Maxwell, Charles Stacy |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164457982 | NPPES |
| North Carolina | MEDICAID | 8995579 |
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