| Mccullough Family Dentistry, P.c. | |
|
1630 Sw White Birch Cir Ankeny IA 50023-7213 | |
| (515) 965-4470 | |
| Not Available |
| Full Name | Mccullough Family Dentistry, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1630 Sw White Birch Cir, Ankeny, Iowa |
| Authorized Official Name and Position | Matthew Mccullough (OWNER) |
| Authorized Official Contact | 5159654470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mccullough Family Dentistry, P.c. 1630 Sw White Birch Cir Ankeny IA 50023-7213 Ph: (515) 965-4470 | Mccullough Family Dentistry, P.c. 1630 Sw White Birch Cir Ankeny IA 50023-7213 Ph: (515) 965-4470 |
| NPI Number | 1730356148 |
|---|---|
| Provider Enumeration Date | 05/14/2008 |
| Last Update Date | 05/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730356148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7932 (Iowa) | Primary |
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