DR. CLYDE A. MAXWELL JR, PA – NPI #1053464560
Clinic/Center

DR. CLYDE A. MAXWELL JR, PA is an AHC clinic located in WILMINGTON, DE. NPPES has assigned the NPI number 1053464560 to DR. CLYDE A. MAXWELL JR, PA on January 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental Please note, simply having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on May 13, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DR. CLYDE A. MAXWELL JR, PA below.

NPI Profile for
DR. CLYDE A. MAXWELL JR, PA

NPI Number
1053464560
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DR. CLYDE A. MAXWELL JR, PA
Other name(s)
All associated names:
Other Name
Clyde A. Maxwell Jr., PA
Doing Business As (dba)
Maxwellness MD Health
Primary location
303 E LEA BLVD
WILMINGTON, DE 19802-2353
Phone: (302) 765-3373 Fax: (302) 765-3379
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CLYDE MAXWELL
DENTIST
Phone: (302) 476-8896
Updated
Certification Date
May 13, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DR. CLYDE A. MAXWELL JR, PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidDE1000040828
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.