Healthcare Provider Details

I. General information

NPI: 1932046877
Provider Name (Legal Business Name): MAXWELL JAMES RUMBARGER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 BUCHANAN ST
SANDUSKY OH
44870-4749
US

IV. Provider business mailing address

2925 N TRILLIUM LN
PORT CLINTON OH
43452-4021
US

V. Phone/Fax

Practice location:
  • Phone: 419-502-0257
  • Fax:
Mailing address:
  • Phone: 419-635-5302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: