Marcie Mliss Maxham, DDS - Dentist in Fort Bragg, CA

Marcie Mliss Maxham, DDS is a Dentist based in Fort Bragg, California. Marcie Mliss Maxham is licensed to practice in California (license number DG031665) and her current practice location is 205 South Street, Fort Bragg, California. She can be reached at her office (for appointments etc.) via phone at (707) 964-1251.

NPI number for Marcie Mliss Maxham is 1568594216 and her current mailing address is 205 South Street, Fort Bragg, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568594216.

Contact Information

Marcie Mliss Maxham, DDS
205 South Street,
Fort Bragg, CA 95437-5540
(707) 964-1251
(707) 961-2722



Healthcare Provider's Profile

Full NameMarcie Mliss Maxham
GenderFemale
SpecialityDentist
Location205 South Street, Fort Bragg, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568594216
  • Provider Enumeration Date: 03/09/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Marcie Mliss Maxham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568594216NPI-NPPES
FHC03967FMedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist DG031665 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marcie Mliss Maxham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Marcie Mliss Maxham, DDS
205 South Street,
Fort Bragg, CA 95437-5540

Ph: (707) 964-3786
Marcie Mliss Maxham, DDS
205 South Street,
Fort Bragg, CA 95437-5540

Ph: (707) 964-1251

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› Verified 1 days ago


Dentist in Fort Bragg, CA

Dr. Brandon Lebeck, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 801 River Dr, Fort Bragg, CA 95437
Phone: 707-964-8080    
Dr. M. Lee Baker, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 890 River Dr, Fort Bragg, CA 95437
Phone: 707-964-0255    Fax: 707-964-5847
Dr. James Frederick Mattson, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 499 Chestnut St, Suite C, Fort Bragg, CA 95437
Phone: 707-964-5616    Fax: 707-964-5917
Natanael Poenaru, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 825 Sequoia Cir, Fort Bragg, CA 95437
Phone: 509-675-0314    
Kenneth Roger Baumgartner, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 18175 N Highway One, Fort Bragg, CA 95437
Phone: 707-964-0440    Fax: 707-964-8373
Dr. Roderick E. Mcmillen Jr., D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 825 Sequoia Circle, Fort Bragg, CA 95437
Phone: 707-964-0242    Fax: 707-964-0244

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