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MCCULLOUGH AND STEVENS NPI 1104064559


NPI Information

NPI: 1104064559
Provider Name: MCCULLOUGH AND STEVENS
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4643 CAMP COLEMAN RD STE 125
TRUSSVILLE, AL
ZIP 35173
Phone: (205) 218-9823
Get Directions

MCCULLOUGH AND STEVENS is a general practice dentist in Trussville, AL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MCCULLOUGH AND STEVENS NPI is 1104064559. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4643 CAMP COLEMAN RD STE 125
TRUSSVILLE, AL
ZIP 35173-838
Phone: (205) 218-9823

The provider's authorized official is Christian Adama Stevens .
The authorized official title is Partner Dentist and has the following contact phone number (205) 218-9823.

The enumeration date for this NPI number is 1/22/2009 and was last updated on 1/22/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice5210ALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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