<unavail> in Tacoma, WA

is a dental clinic (Dentist - General Practice) in Tacoma, Washington. The current practice location for is 4002 South M Street, Suite A, Tacoma, Washington. For appointments, you can reach them via phone at (253) 474-0606. The mailing address for is 4002 South M Street, Suite A, Tacoma, Washington and phone number is (253) 474-0606.

is licensed to practice in Washington (license number 6326) and its NPI number is 1407166655. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (253) 474-0606.

Contact Information


	4002 South M Street Suite A Tacoma WA 98418
	(253) 474-0606
	Not Available

Map and Direction

Dental Care Clinic Profile

Full Name
Speciality	Dentist - General Practice
Location	4002 South M Street, Tacoma, Washington
Authorized Official Name and Position	Willie James Mccullum (DENTIST/OWNER)
Authorized Official Contact	2534740606
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
4002 South M Street Suite A Tacoma WA 98418 Ph: (253) 474-0606	4002 South M Street Suite A Tacoma WA 98418 Ph: (253) 474-0606

NPI Details:

NPI Number	1407166655
Provider Enumeration Date	10/20/2010
Last Update Date	12/18/2012

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407166655	NPI	-	NPPES
5050273	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	6326 (Washington)	Primary
1223P0221X	Dentist - Pediatric Dentistry	8920 (Washington)	Secondary

Reviews and Comments

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Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4125 49th Ave Ne Ste D, Tacoma, WA 98422 Phone: 253-952-2200
Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3811 E Arlington Dr Rm 117, Tacoma, WA 98404 Phone: 253-597-4550
Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1628 S Mildred St, Suite 206, Tacoma, WA 98465 Phone: 253-460-1800 Fax: 253-460-0697
Dental Clinic Medicare: Medicare Enrolled Practice Location: 2209 E 32nd St, Tacoma, WA 98404 Phone: 253-593-0232 Fax: 253-382-2091

- Dental Clinic in Tacoma, WA