OrganizationActive
Bennett & Maxwell Family Dentistry
NPI 1417108366 · Dentist · Valdosta, GA
Provider details
- NPI number
- 1417108366
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Douglas Maxwell, Owner(229) 671-1900
- License
- 11534 (GA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2415 Andover Dr
Valdosta, GA 31602-1280
Phone: (229) 671-1900
Fax: (229) 671-1999
Street-level locationGet directions
Mailing address
2415 Andover Dr
Valdosta, GA 31602-1280
Registry dates
- Enumerated
- 2008-10-08
- Last updated
- 2008-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.