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NPI Code Detail

MEDICARE: DR. RONALD ORIN MAXFIELD DDS

MEDICARE: DR. RONALD ORIN MAXFIELD DDS
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
11223G0001XGeneral Practice Dentistry6057WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801839329
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD ORIN MAXFIELD DDS
Provider Business Mailing Address
First Line : 4476 W VAN GIESEN ST
Second Line :
City : WEST RICHLAND
State : WA
Zip : 99353-5411
Country : US
Telephone Number : 509-967-3421
Fax Number : 509-967-2186
Provider Business Practice Location Address
First Line : 4476 W VAN GIESEN ST
Second Line :
City : WEST RICHLAND
State : WA
Zip : 99353-5411
Country : US
Telephone Number : 509-967-3421
Fax Number : 509-967-2186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 07/08/2007

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