Maxwell Theodore Dismuke is a Long Beach, California based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Maxwell Theodore Dismuke is
112497 for Dentistry in California. His current practice location is
4220 Pine Ave, Long Beach. Patients can reach him at
562-230-6292.
Maxwell Theodore Dismuke is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Maxwell Theodore Dismuke 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: | Maxwell Theodore Dismuke |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 4220 Pine Ave, Long Beach,
California, 90807-1926 |
| Phone: | 562-230-6292 |
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: | 1235098005 |
| NPI Enumeration Date: | 19 Jan, 2026 |
| NPI Last Update On: | 19 Jan, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Maxwell Theodore Dismuke are as mentioned below.
| License Number | Specialization | State | Status | |
| 112497 | Dentistry | California | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4220 Pine Ave,
Long Beach, California |
| Zip: | 90807-1926 |
| Phone Number: | 562-230-6292 |
Patients can reach Maxwell Theodore Dismuke at
4220 Pine Ave, Long Beach, California or can
call to book an appointment on 562-230-6292.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
09 February, 2026.