| Shawn T Mccullough Dds, Pllc | |
|
6041 Main St Ste C North Branch MN 55056-6589 | |
| (651) 674-4811 | |
| Not Available |
| Full Name | Shawn T Mccullough Dds, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6041 Main St Ste C, North Branch, Minnesota |
| Authorized Official Name and Position | Shawn Timothy Mccullough (OWNER) |
| Authorized Official Contact | 6516744811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn T Mccullough Dds, Pllc Po Box 40 6041 Main Street North Branch MN 55056 Ph: (651) 674-4811 | Shawn T Mccullough Dds, Pllc 6041 Main St Ste C North Branch MN 55056-6589 Ph: (651) 674-4811 |
| NPI Number | 1841850062 |
|---|---|
| Provider Enumeration Date | 06/19/2019 |
| Last Update Date | 06/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841850062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
North Branch Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6460 Main St, North Branch, MN 55056 Phone: 651-674-7096 Fax: 651-674-7097 | |
North Branch Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6460 Main St, North Branch, MN 55056 Phone: 651-674-7096 Fax: 651-203-7373 | |
North Branch Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6460 Main St, North Branch, MN 55056 Phone: 651-674-7096 | |
Clear Creek Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6364 Main St, North Branch, MN 55056 Phone: 651-674-8128 |