Ashley Maxam, DMD

Dentist · Marion, IL

Individual Active NPI

NPI number 1124259130

Practice location

1501 S Carbon St
Marion, IL 62959-1435
Phone
(618) 997-7273
Fax
(618) 997-8978

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NPI record

NPI
1124259130
Entity type
Individual (Type 1)
Enumeration date
August 7, 2009
Last updated
October 21, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019-028085 IL

Mailing address

109 California St
PO Box 577
Carterville, IL 62918-1923
Phone
(618) 985-8221
Fax
(618) 985-6860

About Dr. Maxam

Ashley Maxam, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1501 S Carbon St, Marion, IL 62959-1435. The NPI number 1124259130 was assigned on August 7, 2009 and the record was last updated on October 21, 2011.

Dr. Maxam lists a license in the registry: #019-028085 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ashley Maxam, DMD?

The NPI number is 1124259130.

What is the phone number of Dr. Maxam?

The phone number listed for the practice location is (618) 997-7273.

Where is Dr. Maxam located?

1501 S Carbon St, Marion, IL 62959-1435.

What is the taxonomy code for Dr. Maxam?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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