OrganizationActive
Charles B. Maxwell, DMD, PA
NPI 1851345557 · Clinic/Center · Johnsonville, SC
Provider details
- NPI number
- 1851345557
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Charles Maxwell, Owner(843) 386-2833
- License
- 2117 (SC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
144 East Broadway St.
Johnsonville, SC 29555-0297
Phone: (843) 386-2833
Fax: (843) 386-2279
Approximate (ZIP-level) locationGet directions
Mailing address
144 East Broadway St.
Johnsonville, SC 29555-0297
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.