Yetta G Mccullom, DDS, MA is a periodontics dentist in Chicago, IL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Yetta G Mccullom, DDS, MA NPI is 1285884791. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
820 E 87TH ST
STE 201
CHICAGO, IL
ZIP 60619-253
Phone: (773) 488-3738
Fax: (773) 874-6575
The NPI 1285884791 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 9/22/2008 and was last updated on 9/23/2008.