MEDICARE: MAXWELL RICHLING DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DENT.DE.70012143	WA

General Provider Information

NPI Number	:	1154163996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAXWELL RICHLING DMD

Provider Business Mailing Address
First Line	:	1049 SE CITY BEACH ST
Second Line	:
City	:	OAK HARBOR
State	:	WA
Zip	:	98277-5703
Country	:	US
Telephone Number	:	360-675-3444
Fax Number	:

Provider Business Practice Location Address
First Line	:	1049 SE CITY BEACH ST
Second Line	:
City	:	OAK HARBOR
State	:	WA
Zip	:	98277-5703
Country	:	US
Telephone Number	:	360-675-3444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2024
Last Update Date	:	09/11/2025

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Directions to “ MAXWELL RICHLING DMD” Practice Location

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