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Bennett & Maxwell Family Dentistry

Dentist in Valdosta, GA · enumerated 2008 · authorized official Douglas Maxwell, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417108366

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Registry record

Entity type Organization (Type 2)
Legal business name Bennett & Maxwell Family Dentistry
Practice address 2415 Andover Dr, Valdosta, GA, 31602
Fax (229) 671-1999
Enumeration date Oct 8, 2008
Last updated in NPPES Oct 8, 2008

Taxonomy & classification

122300000X Dentist Dental Providers · License 11562 (GA) Primary
122300000X Dentist Dental Providers · License 11534 (GA) Secondary

Authorized official

Name Douglas Maxwell
Title Owner

Other identifiers

Identifier Type State Issuer
000961276A Medicaid GA -
000963256A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Bennett & Maxwell Family Dentistry?
The NPI for Bennett & Maxwell Family Dentistry is 1417108366, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Bennett & Maxwell Family Dentistry?
NPPES lists Douglas Maxwell (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-10-08.