Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marcie Mliss Maxham, DDS

Individual provider Dentist · NPI 1568594216

Marcie Mliss Maxham, DDS is a Dentist in Fort Bragg, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

205 S St
Fort Bragg, CA 95437-5540
Phone: (707) 964-1251
Fax: (707) 961-2722
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DG031665 (CA)

Record details

NPI number1568594216
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 9, 2007
Last updated in NPPESJuly 8, 2007
Mailing address205 South Street, Fort Bragg, CA 95437-5540

Other providers in Fort Bragg