Marcie Mliss Maxham is a Fort Bragg, California based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Marcie Mliss Maxham is DG031665 for Dentistry in California. Her current practice location is 205 South Street, Fort Bragg. Patients can reach her at 707-964-1251.
Marcie Mliss Maxham is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Marcie Mliss Maxham speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Marcie Mliss Maxham
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
205 South Street, Fort Bragg, California, 95437-5540
Phone:
707-964-1251
Fax:
707-961-2722
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1568594216
NPI Enumeration Date:
09 Mar, 2007
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marcie Mliss Maxham are as mentioned below.
License Number
Specialization
State
Status
DG031665
Dentistry
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Marcie Mliss Maxham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
FHC03967F
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
205 South Street, Fort Bragg, California
Zip:
95437-5540
Phone Number:
707-964-3786
Fax Number:
707-961-2722
Patients can reach Marcie Mliss Maxham at 205 South Street, Fort Bragg, California or can call to book an appointment on 707-964-1251. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.